This chapter will focus on management of the uncomplicated ACS patient. However, it is important for clinicians to recognize complications of MI, since MI is associated with increased mortality. The most serious complication of MI is cardiogenic shock, occurring in approximately 10% of hospitalized MI patients. Mortality in cardiogenic shock patients with MI is high, approaching 60%. Other complications which may result from MI are heart failure, valvular dysfunction, bradycardia, heart block, pericarditis, stroke secondary to left ventricular thrombus embolization, venous throm-boembolism, left ventricular free wall rupture, and ventricular and atrial tachyarrhythmias.9 In fact, more than one-quarter of MI patients die, presumably from ventricular fibrillation, prior to reaching the hospital.1

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