Supplementary notes on Peri-operative MI

These are supplementary notes
- see the acute coronary card

Peri-op MI has a higher mortality
- often silent
- or presents with cardiogenic shock, acute dysrhythmia, pulmonary oedema or cardiac arrest.
--> Have a high index of suspicion, particularly in the high-risk pt.

While waiting for the physician
Attend to ABCs
Make your pt comfortable with an opiate and antiemetic
Give high-flow O2
Give GTN
Arrange ECG and blds