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What do you know about post-MI risk stratification ?

What do you know about post-MI risk stratification ? 

• Risk stratification before hospital discharge is an important aspect of manage-ment and determines whether coronary angiography is indicated. • The first step is to determine whether the clinical variables indicatine a relatively high risk for future cardiac events are present:

1. Patients who have recurrent ischaemia at rest or with mild activity, who have had evidence of congestive heart failure or who are known to have an ejection traction below 40% and in whom there are no contraindications for revas-cularization should undergo cardiac catheterization and coronary angiography. Revascularization should then be carried out if the coronary anatomy is suitable and there are no contraindications.

2. Patients who have had an episode of ventricular fibrillation or sustained ven-tricular tachycardia more than 48 hours after acute MI should be considered for electrophysiological study or amiodarone therapy, or both.

3. In patients wit…

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