Lesson 1Pericarditis, Dressler’s syndrome, and inflammatory complications: diagnosis and early managementDis tackle early swelling issues after MI like acute pericarditis and Dressler’s, stress diagnostic rules, ECG and imaging finds, tell from ischemia, and proof-based anti-swelling treatment and watch.
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 pathwaysDis review post-MI mechanical issues, stress bedside spot, key echo and blood flow hints, stable measures, and team up for emergency surgery paths to cut quick drop and boost survival in high-risk.
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)Dis detail blood flow check in cardiogenic shock with clinical, non-invasive, invasive tools, and outline proof-based inotropes, pressors, volume plans, and when for mechanical support 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 troubleshootingDis explore conduction mess after MI, focus spot high-degree AV block, risk sort by infarct spot, when for temp transvenous pacing, fix pacing fails, and rules for permanent pacemaker check.
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 reconciliationDis cover infection stop and med safety in hospital MI patients, including DVT prophylaxis, sugar control goals, safe high-risk drugs, structured med match to stop misses, doubles, mixes.
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 actionDis define best vital sign and ECG watch in early post-MI, including telemetry when, serial ECG how often, read changing patterns, specific signs or shifts dat call urgent check or step 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)Dis describe echo role in acute MI, best timing, wall motion and pump strength check, spot VSD, free wall rupture, papillary muscle mess, guide blood flow and 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 triggersDis focus early spot and handle bad ventricular rhythms after MI, mix telemetry patterns, ACLS steps, antiarrhythmic picks, when for shock therapies, and when call electrophysiology.
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 placementDis clear level-of-care choices after MI, outline rules for ED watch, telemetry unit, CCU/ICU, mix blood flow, rhythm risk, other issues, resources to safe, good watch strength.
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 thresholdsDis cover structured bleeding risk check after MI, early spot big bleeding, step-by-step reverse antiplatelets and anticoagulants, transfusion limits, balance ischemic guard with bleeding control in tough patients.
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 panelDis explain structured lab watch after MI, troponin paths, CBC, salts, kidney and liver work, clotting tests, stress read trends, early spot issues, 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
