Mechanical Complications of Acute Myocardial Infarction
Published: June 15, 2021
- In papillary muscle rupture (PMR), emergency mitral valve replacement (MVR) is the treatment of choice, but for patients with partial PMR and stable hemodynamics, MV repair may be an option for surgeons with the appropriate technical expertise.
- In post-infarction ventricular septal defect (VSD) caused by rupture of infarcted myocardium, immediate afterload reduction is the mainstay of initial therapy and may be achieved through temporary mechanical support to decompress the left ventricle and support cardiac output.
- Multidisciplinary teams have the potential to improve adherence to best practice recommendations, decrease adverse events, and increase patient survival. In addition, patients, family members, and palliative care specialists should be actively engaged in treatment decision-making within the cardiac intensive care unit (CICU).
- Commentary: Systems of Care and Team-Based Approach to the Management of Mechanical Complications Following Acute Myocardial Infarction by Behnam N. Tehrani, MD, Timothy D. Henry, MD, and Wayne N. Batchelor MD, MHS
- Top Things to Know: Mechanical Complications of Acute Myocardial Infarction
- 2021 Invasive Management of Acute Myocardial Infarction Complicated by Cardiogenic Shock
- 2019 Contemporary Diagnosis and Management of Patients With Myocardial Infarction in the Absence of Obstructive Coronary Artery Disease
- 2018 Fourth Universal Definition of Myocardial Infarction
- 2017 Contemporary Management of Cardiogenic Shock
- 2017 AHA/ACC Clinical Performance and Quality Measures for Adults With ST-Elevation and Non–ST-Elevation Myocardial Infarction
- 2014 AHA/ACC Guideline for the Management of Patients With Non–ST-Elevation Acute Coronary Syndromes
- 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction