Certain current complications following ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction (within the 28 day period) digital illustration

Certain current complications following ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction (within the 28 day period) Save


ICD-10 code: I23

Chapter: Diseases of the circulatory system

Certain Current Complications Following STEMI and NSTEMI Myocardial Infarction (Within the 28 Day Period)

ST elevation myocardial infarction (STEMI) and non-ST elevation myocardial infarction (NSTEMI) are both types of heart attack. Although they share similar symptoms, their causes and treatments differ. Complications can arise following both types of heart attack.

Here are some of the most common complications that may occur within the 28 day period following a STEMI or NSTEMI:

  1. Angina: Chest pain or discomfort may persist for several weeks after a heart attack. This is called stable angina and is caused by narrowed arteries. If the chest pain becomes more severe or frequent, it may be a sign of unstable angina or another heart attack.
  2. Arrhythmia: The heart may beat too fast, too slow or irregularly after a heart attack. This can cause dizziness, shortness of breath, chest pain, and even fainting. Arrhythmias can be treated with medication or a pacemaker.
  3. Heart failure: The heart may become weakened and unable to pump enough blood to meet the body's needs. Symptoms include shortness of breath, fatigue, and swelling in the legs and abdomen. Treatment includes medication and lifestyle changes.
  4. Cardiogenic shock: This occurs when the heart is unable to pump enough blood to the body's organs. Symptoms include low blood pressure, rapid breathing, and confusion. Cardiogenic shock is a medical emergency that requires immediate treatment.
  5. Pericarditis: The lining around the heart may become inflamed, causing chest pain and fever. Treatment includes medication to reduce inflammation and pain.
  6. Thrombosis: Blood clots may form in the arteries that supply blood to the heart. This can cause another heart attack or stroke. Blood thinners may be prescribed to prevent thrombosis.

If you have had a heart attack, it is important to follow your doctor's instructions and attend all follow-up appointments. Lifestyle changes such as quitting smoking, exercising regularly, and eating a healthy diet can reduce the risk of complications. Medications such as aspirin, beta-blockers, and cholesterol-lowering drugs may also be prescribed to prevent further heart problems.

Complications can occur following both STEMI and NSTEMI myocardial infarctions. Recognizing the symptoms and seeking prompt medical attention can reduce the risk of serious complications and improve outcomes.