Complications of Myocardial infarction.

Complications of Myocardial infarction

Complications in myocardial infarction are often due to muscle necrosis. Complications are –

• Contractile dysfunction

• Arrhythmias – most common sinus Bradycardia, heart block (asystole), tachycardia, ventricular fibrillation

• Myocardial rupture leading to hemopericardium and cardiac tamponade 

• Dresslers syndrome: Fibrinous or fibrinopurulent pericarditis

• Increase in size of infarct with extension, often into right ventricle also

• Mural thrombus leading to thromboembolism

• Ventricular aneurysm

• Progressive late heart failure due to chronic ischemic heart disease

 

References :

1. Robbins and Cotrans: Pathologic basis of diseases.8th edition

2. Harshmohan: Text book of Pathology.7th edition

By
Dr.B.Chaitanya (Consultant Pathologist, RDT hospital, Anantapur) (bchaitanya.med@gmail.com)