Lesson 1Pericarditis, Dressler’s syndrome, and inflammatory complications: diagnosis and early managementHandles early swelling issues post-MI like acute pericarditis, Dressler’s, stressing diagnosis rules, ECG/imaging signs, telling from shortage, and proven anti-swelling treatment and watching.
Clinical and ECG signs of acute pericarditisImaging features of post‑MI pericardial diseaseDressler’s syndrome: timing and featuresNSAIDs, colchicine, and steroid useMonitoring for effusion and tamponadeLesson 2Mechanical complications: ventricular septal rupture, free wall rupture, papillary muscle rupture — diagnostic clues, emergent surgical pathwaysReviews post-MI mechanical issues, stressing bedside spotting, key echo/blood flow clues, stabilize steps, coordinating urgent surgery paths to slow fast decline and boost survival in high-risk cases.
Ventricular septal rupture: signs and diagnosisFree wall rupture and tamponade recognitionPapillary muscle rupture and acute MR cluesStabilization before emergent cardiac surgeryRole of echo and cath lab in decision makingLesson 3Hemodynamic monitoring and management of cardiogenic shock: invasive vs noninvasive assessments, inotropes, vasopressors, mechanical circulatory support indications (IABP, Impella, ECMO)Details blood flow checks in heart shock using bedside, non-invasive, invasive tools, proven use of heart boosters, pressors, fluids, mechanical pump signs like IABP, Impella, VA-ECMO.
Clinical and ultrasound shock assessmentUse of pulmonary artery catheter dataChoosing inotropes versus vasopressorsIndications for IABP and percutaneous MCSWhen to escalate to VA‑ECMO supportLesson 4Conduction blocks and pacing: recognition of high-degree AV block, temporary transvenous pacing indications and troubleshootingLooks at electrical blocks post-MI, focusing spotting high AV block, risk by infarct spot, temp pacing needs, fixing failures, permanent pacemaker checks.
Types of AV block after MI and prognosisWhen to use temporary transvenous pacingPacing wire placement and monitoringTroubleshooting loss of capture or sensingTransition to permanent pacemaker decisionsLesson 5Infection prevention and inpatient medications safety: DVT prophylaxis, glycemic control in acute MI, and medication reconciliationCovers stopping infections and safe drugs in hospital MI patients, DVT prevention, sugar targets, safe high-risk drugs, structured drug list checks to avoid misses, doubles, clashes.
VTE prophylaxis choices and dosingGlycemic targets and insulin protocolsPreventing catheter and line infectionsHigh‑risk cardiovascular drug safetyMedication reconciliation at transitionsLesson 6Vital sign and ECG monitoring frequency: continuous telemetry, serial ECG schedule, what changes mandate urgent actionSets best vital/ECG watching early post-MI, telemetry needs, repeat ECG timing, reading changes, patterns/sign shifts needing urgent checks or steps up.
Telemetry indications and alarm settingsSchedule for serial 12‑lead ECGsRecognizing ischemic ECG evolutionVital sign trends signaling instabilityEscalation triggers and rapid responseLesson 7Echocardiography in acute MI: timing, wall motion assessment, detection of mechanical complications (VSD, free wall rupture, papillary muscle dysfunction)Describes echo role in acute MI, best timing, wall motion/EF checks, spotting VSD, wall rupture, muscle issues, guiding blood flow/surgery choices.
Timing of initial and repeat echocardiogramsAssessing regional wall motion and EFDetecting VSD and left‑to‑right shuntsIdentifying free wall rupture and thrombusPapillary muscle dysfunction and MR severityLesson 8Arrhythmia detection and management: ventricular tachycardia/fibrillation, sustained VT— acute ACLS-based steps, antiarrhythmics, electrical therapies, electrophysiology consult triggersFocuses early spotting/handling bad ventricle rhythms post-MI, telemetry patterns, ACLS steps, anti-rhythm drugs, shock needs, heart rhythm specialist calls.
Risk factors for VT and VF after MITelemetry patterns suggesting VT or VFACLS algorithms for unstable arrhythmiasUse of amiodarone and other agentsEP consult and ICD consideration timingLesson 9Level-of-care decisions: ED observation, telemetry unit, CCU/ICU — criteria for placementClears care level choices post-MI, ED watch, telemetry, CCU/ICU rules, using blood flow, rhythm risk, illnesses, needs for safe monitoring match.
Risk factors requiring CCU or ICU careWho can safely remain in ED observationTelemetry unit criteria and limitationsDynamic reassessment and step‑up triggersDischarge planning from monitored unitsLesson 10Bleeding risk assessment and management: recognition of major bleeding, reversal strategies for antithrombotics, transfusion thresholdsCovers planned bleed risk checks post-MI, early major bleed spotting, step reversal of platelets/thinners, blood give points, balancing shortage protection with bleed control in tough cases.
Bleeding risk scores and clinical predictorsRecognition of major versus minor bleedingReversal of antiplatelet and anticoagulant drugsTransfusion thresholds in MI and shockRestarting antithrombotics after bleedingLesson 11Serial biomarker and lab monitoring: troponin trajectories, CBC, electrolytes, creatinine, liver enzymes, coagulation panelExplains planned lab watches post-MI, troponin paths, blood count, salts, kidney/liver work, clot tests, stressing trend reads, early issue spots, safe therapy tweaks.
Troponin trajectories and reinfarction cluesCBC trends: anemia and thrombocytopeniaElectrolyte targets for arrhythmia preventionRenal and hepatic function in drug dosingCoagulation tests and anticoagulant titration
