Lesson 1Pericarditis, Dressler’s syndrome, and inflammatory complications: diagnosis and early managementHandles early swelling issues post-MI like heart sac inflammation and Dressler’s, with diagnosis rules, ECG/scan signs, telling from shortage, and proven anti-swelling treatments and watches.
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 breaks like wall holes, outer ruptures, muscle tears, bedside signs, echo/blood flow clues, stabilising, and urgent surgery links to boost survival.
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 with clinical/non-invasive/invasive tools, proven heart boosters, pressure drugs, fluids, and when for pump supports 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 heart signal blocks post-MI, spotting high AV blocks, risks by damage site, temp wire pacing when/how, fixes, and 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 germ prevention and drug safety in hospital MI patients, clot leg prevention, sugar targets, safe high-risk drugs, and 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 watches early post-MI, telemetry when, repeat ECG times, reading shifts, patterns/sign changes needing quick 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 times, wall motion/EF reads, spotting wall holes, ruptures, muscle issues, guiding blood flow/surgery calls.
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, monitor patterns, revival steps, drug picks, shock when, heart 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 picks post-MI, rules for emergency watch, monitor unit, CCU/ICU, using blood flow, rhythm risk, other ills, resources for safe watch levels.
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 bleed risk checks post-MI, early big bleed spots, step reversal of clot-blockers/thinners, blood give limits, balancing shortage guard with bleed control.
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 lab watches post-MI, troponin paths, blood count, salts, kidney/liver, clot tests, reading trends, early problem 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
