62-year-old male myocardial infarction year ago hypertension NSTEMI case study

A 62-year-old male who had a myocardial infarction one year ago is being seen for hypertension

being seen for hypertension. Which medication has the best evidence in mortality reduction? 

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How is hypertension related to myocardial infarction?

A chronic hypertensive state causes cardiac hypertrophy which is an independent risk factor for myocardial infarction. Left ventricular hypertrophy is associated with increased oxygen demand leading to the development of new arterial vessels (collaterals) to supply the myocardium.

Which complication is most likely to occur after a myocardial infarction?

Ventricular free wall rupture. VFWR is the most serious complication of AMI. VFWR is usually associated with large transmural infarctions and antecedent infarct expansion. It is the most common cause of death, second only to LV failure, and it accounts for 15-30% of the deaths associated with AMI.

What is the most common complication of myocardial infarction 1 to 3 days after?

Pericarditis usually develops between 24 and 96 hours after AMI. The frequency is reduced with early reperfusion in the acute management of infarction. Frequently occurs within a few days of the myocardial infarction and presents with a low-grade fever, pericardial friction rub and pleuritic chest pain.

What is the most common outcome of myocardial infarction?

An MI results in irreversible damage to the heart muscle due to a lack of oxygen. An MI may lead to impairment in diastolic and systolic function and make the patient prone to arrhythmias. In addition, an MI can lead to a number of serious complications. The key is to reperfuse the heart and restore blood flow.

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