Chest pain after myocardial infarction is not all the same. Timing provides the diagnosis. Early causes (hours–days): • Reinfarction → rising troponin, ischemic ECG • Early pericarditis → diffuse ST elevation ± PR depression Mechanical complications (days): • Papillary muscle rupture → acute MR, flash pulmonary edema • VSD rupture → new harsh holosystolic murmur • Free wall rupture → tamponade, PEA arrest Late causes: • Dressler syndrome (weeks) → fever, ↑ ESR/CRP • LV aneurysm (weeks–months) →
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Chest pain after myocardial infarction is not all the same. Timing provides the diagnosis. Early causes (hours–days): • Reinfarction → rising troponin, ischemic ECG • Early
Cardiology tips updates. Scott Dugdale · Moments Emotional. Chest pain after myocardial infarction is not all the same. Timing provides the diagnosis. Early causes (hours–days): • Reinfarction → rising troponin, ischemic ECG • Early pericarditis → diffuse ST elevation ± PR depression Mechanical complications (days): • Papillary ...
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