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Table 45.9

Complications of Myocardial Infarction and Their Management

ComplicationManagement
TachyarryhthmiaSee Chapters 39, 40, 41, 42, 43
BradyarrhythmiaSee Chapter 44
Myocardial rupture of:
Papillary muscle, causing severe mitral regurgitationCardiac surgery
Ventricular septum, causing ventricular septal ruptureCardiac surgery
Free wall, causing tamponade or a pseudoaneurysmSurgery for pseudoaneurysm
True aneurysmHeart failure therapy, occasionally LV reduction surgery or percutaneous devices
PericarditisNSAID; see Chapter 53
LV thrombusAnticoagulation with warfarin