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Post Myocardial Infarction Evaluation
- Tags
- C0151744
- C0027051
- C0948089
- Evaluation
- Echocardiogram
- Ejection Fraction is best predictor of prognosis
- Stress Test (Class I evidence - standard of care)
- Do not perform if revascularization was performed
- Submaximal test days 4-6 post-MI (before discharge)
- Perform if no contraindications
- Alternative: 14-21 days post-MI (after discharge)
- Symptom limited maximal test at 3-6 weeks post-MI
- Perform if initial study was submaximal
- Coronary Angiogram
- Indications
- Check Re-perfusion after:
- Large or Anterior Myocardial Infarction
- Thrombolytic use
- Thallium Imaging
- Indications
- Identify surviving myocardium
- Other evaluation
- Treat Comorbid Major Depression (present in 15-22%)
- See Depression Management in Cardiovascular Disease
- Risk of MI related death increased 3.5 fold
- Observe for Cerebrovascular Accident symptoms
- Risk increased 44 fold in first 30 days post-MI
- Witt (2005) Ann Intern Med 143:785
- References
- Frasure-Smith (1993) JAMA 270:1819
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