Lesson 1Pericarditis, Dressler’s syndrome, and inflammatory complications: diagnosis and early managementHandles early inflammation after MI like acute pericarditis, Dressler’s, stressing diagnosis rules, ECG/imaging signs, separate from ischemia, evidence-based anti-inflammation 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 pathwaysReviews post-MI mechanical issues, stressing bedside spot, key echo/blood flow signs, stabilize steps, coordinate emergency surgery to stop 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)Details blood flow check in heart shock using clinical, non-invasive, invasive tools, evidence use of heart boosters, pressure drugs, volume plans, 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 troubleshootingLooks at conduction issues after MI, focusing spot high AV block, risk by infarct spot, temp pacing when, fix failures, permanent pacemaker check rules.
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 infection stop and drug safety in hospital MI patients, DVT prevent, sugar control goals, safe high-risk drugs, structured med check 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 actionSets best vital and ECG watch in early post-MI, telemetry when, serial ECG times, read changes, patterns or vital 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)Describes echo role in acute MI, best time, wall motion/EF check, spot VSD, free wall rupture, papillary dysfunction, guide 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 spot and handle bad ventricle rhythms after MI, mix telemetry, ACLS steps, anti-rhythm drugs, electrical when, electro consult signs.
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, criteria for ED watch, telemetry, CCU/ICU, mix blood flow, rhythm risk, illnesses, resources 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 bleeding risk check post-MI, early big bleed spot, step reverse antiplatelets/anticoags, transfusion lines, balance ischemia protect 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 watch post-MI, troponin paths, CBC, salts, kidney/liver, clotting tests, stress trends, early trouble spot, 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
