Appropriate treatment of hemodynamic complications in acute myocardial infarction requires correlating the problem with its specific etiology.
Etiology-specific correlation may guide AMI hemodynamic management; leaves open prospective validation of this categorization.
These complications can be broken down into three major categories: the direct effects of ischemia, the effects of myocardial rupture or similar structural loss secondary to ischemic insult, and the effects of inhibitory autonomic reflexes triggered by infarction. It is critical to correlate the hemodynamic problem with its etiology in order to choose the appropriate treatment.
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Messineo et al. (1989) studied this question.
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