Document Detail

Postmyocardial infarction complications requiring surgery.
MedLine Citation:
PMID:  921445     Owner:  NLM     Status:  MEDLINE    
Papillary muscle rupture, ventricular septal defect, and ventricular aneurysm represent complications of myocardial infarction that require surgical intervention. Since operative mortality and morbidity are increased in proportion to the degree of myocardial and pulmonary disease, early diagnosis and surgical intervention is mandatory. Diagnostic procedures of choice include careful and serial ECG analysis and cardiac auscultation, especially in patients with postinfarction refractory angina or congestive heart failure; Swan-Ganz catheterization, echocardiography; and, in appropriate instances, ventricular and coronary angiography should also be performed preoperatively. With early identification of patients at risk of developing these complications, and careful preoperative hemodynamic studies, surgical repair should lead to improvement in myocardial function and more effective response to post-operative medications in patients previously resistant to such therapy.
R Kleiger; R Shaw
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of internal medicine     Volume:  137     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1977 Nov 
Date Detail:
Created Date:  1977-12-29     Completed Date:  1977-12-29     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1580-6     Citation Subset:  AIM; IM    
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MeSH Terms
Heart Aneurysm / diagnosis,  etiology*,  physiopathology,  surgery
Heart Septal Defects, Ventricular / diagnosis,  etiology*,  surgery
Middle Aged
Mitral Valve Insufficiency / surgery
Myocardial Infarction / complications*
Papillary Muscles*
Rupture, Spontaneous

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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