Under what circumstances would clients with ST elevation MI require immediate revascularization? Select all that apply
1. Persistent chest pain
2. Hemodynamic instability
3. Repair of postinfarction ventricular septal rupture or mitral insufficiency
4. Cardiogenic shock in clients less than 75 years old
5. Life-threatening ventricular dysrhythmias and > 50% left main stenosis and/or triple-vessel disease
1. Persistent chest pain
2. Hemodynamic instability
3. Repair of postinfarction ventricular septal rupture or mitral insufficiency
4. Cardiogenic shock in clients less than 75 years old
5. Life-threatening ventricular dysrhythmias and > 50% left main stenosis and/or triple-vessel disease
Rationale: Persistent chest pain. Performing surgery amid an acute MI greatly increases the risks of perioperative complications. The American Academy of Cardiology includes persistent chest pain in its recommendations for these clients. Hemodynamic instability. Performing surgery amid an acute MI greatly increases the risks of perioperative complications. The American Academy of Cardiology includes hemodynamic instability in its recommendations for these clients. Repair of postinfarction ventricular septal rupture or mitral insufficiency. Performing surgery amid an acute MI greatly increases the risks of perioperative complications. The American Academy of Cardiology includes repair of postinfarction ventricular septal rupture or mitral insufficiency in its recommendations for these clients. Cardiogenic shock in clients less than 75 years old. Performing surgery amid an acute MI greatly increases the risks of perioperative complications. The American Academy of Cardiology includes cardiogenic shock in clients less than 75 years old in its recommendations for these clients. Life-threatening ventricular dysrhythmias and > 50% left main stenosis and/or triple-vessel disease. Performing surgery amid an acute MI greatly increases the risks of perioperative complications. The American Academy of Cardiology includes life-threatening ventricular dysrhythmias and > 50% left main stenosis and/or triple-vessel disease in its recommendations for these clients.
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