Document Detail


Myocardial rupture in acute myocardial infarction: report of experience and review.
MedLine Citation:
PMID:  702567     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A review of eight cases of myocardial rupture following myocardial infarction confirmed the association of rupture with advanced age, a preponderance of females, hypertension, and physical exercise after infarction. In four patients, electrocardiograms recording the events of rupture showed further S-T elevation, supraventricular tachycardia, and conduction defects. One case of septal rupture showed increase in the amplitude of the P waves. The combination of these changes with sudden reappearance of chest pain, development or worsening of congestive cardiac failure with hypotension, and the appearance of a precordial systolic murmur should aid in the earlier diagnosis of this complication which may be amenable to surgery. Successful repair of rupture has been reported during the acute phase of infarction and after variable periods of delay.
Authors:
F Kerr; L J Haywood
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the National Medical Association     Volume:  70     ISSN:  0027-9684     ISO Abbreviation:  J Natl Med Assoc     Publication Date:  1978 May 
Date Detail:
Created Date:  1978-12-20     Completed Date:  1978-12-20     Revised Date:  2010-10-26    
Medline Journal Info:
Nlm Unique ID:  7503090     Medline TA:  J Natl Med Assoc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  325-30     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Female
Heart Rupture / etiology*
Humans
Male
Middle Aged
Myocardial Infarction / complications*
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