Document Detail

Papillary muscle rupture as a first event in acute myocardial infarction.
MedLine Citation:
PMID:  3188991     Owner:  NLM     Status:  MEDLINE    
Cardiogenic shock caused by papillary muscle rupture in acute myocardial infarction is potentially reversible by surgical treatment. A case of inferior myocardial infarction in a 56-year-old previously healthy man is reported, in which the first event was papillary muscle rupture. The patient was in shock and had a mitral insufficiency murmur. The diagnosis was made by echocardiography and ventriculography. A St. Jude valve was implanted, and the patient was discharged in good health. It is suggested that routine echocardiography be carried out on patients with sudden cardiogenic shock, when a mitral murmur is present.
H T Sørensen; F Nielsen; J Sørensen
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta medica Scandinavica     Volume:  224     ISSN:  0001-6101     ISO Abbreviation:  Acta Med Scand     Publication Date:  1988  
Date Detail:
Created Date:  1988-12-16     Completed Date:  1988-12-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370330     Medline TA:  Acta Med Scand     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  401-2     Citation Subset:  IM    
Department of Cardiology, Aalborg Hospital, Denmark.
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MeSH Terms
Heart Rupture / etiology*,  surgery
Middle Aged
Mitral Valve Prolapse / etiology,  surgery
Myocardial Infarction / complications*

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