Other Post MI Complications

Complication	Clinical Features	Treatment
LV thrombus	~30% incid. (espec lg antero-apical MI)	AC×3-6 mo (? warfarin pref)
Ventricular aneurysm	Noncontractile outpouching of LV; 8–15% incid. (espec ant); persist STE	Surgery or perc repair if HF, thromboemboli, arrhythmia
Ventricular pseudoaneurysm	Rupture (narrow neck) → sealed by thrombus and pericardium (esp in inf).	Urgent surgery (or percutaneous repair)
Pericarditis	10–20% incid.; 1–4 d post-MI ⊕ pericardial rub; ECG Δs rare	High-dose ASA, colchicine, narcotics; minimize anticoag
Dressler’s syndrome	<4% incid.; 2–10 wk post-MI fever, pericarditis, pleuritis	High-dose aspirin, NSAIDs