Welcome back to the Internet Book of Critical Care Podcast. I'm here with Adam Thomas, and we're going to talk about post-MI complications.

And we should probably make some sort of statement at the beginning of this, that all these patients can be followed by cardiology.

So all of these decisions are going to be made in conjunction with cardiology.

But I think at the same time, it's useful to understand what's going on.

We're going to start off with the general approach to the deteriorating post-MI patient and give you a nice roadmap there.

We'll talk about the highlights of access issues, post-complications when it comes to the paracardium, the myocardium, and then the valves themselves.

And then what would be a post-MI complication podcast without

arrhythmious? So Josh, let's get straight into it. Give me a roadmap. So patient has had an

MI now that they're not doing well. What am I going to consider here? Probably the most important

take home from this podcast is to think about these patients broadly because I must admit we always get

into this kind of rabbit hole. is the patient reinfarkting,

what's the EKG show, and then we lose sight of all these other complications.

So I think it's useful to just remember that there's a huge variety of problems that can

occur with these patients.

Fortunately, these are less common in the reperfusion era, but they can still happen.

Things like ruptured septa, ruptured mycardium, things of that nature. So check out the post guys, but think re-infarct,

rupture, post-emi-pericarditis, hemorrhage, medication effect, arrhythmia, and then other complications we see in our ICU-level patients, like pneumos, dissections, P.E., VAPs, and line

infections. Now, Josh, we can look at this in the post, but general approach to investigating these patients or someone

with a delayed deterioration.

What am I going to consider?

First of all, think about what's happened to the patient recently, what's the context

here where they just started on a medication?

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