Document Detail

Subacute cardiac rupture: a surgical emergency.
MedLine Citation:
PMID:  6581394     Owner:  NLM     Status:  MEDLINE    
Three cases of subacute cardiac rupture following acute myocardial infarction are described. All three patients experienced sudden collapse during convalescence and following cardiopulmonary resuscitation were in cardiogenic shock, the shock being due to haemopericardium causing cardiac tamponade. Two of the patients who had electrocardiographic monitoring at the time of their collapse showed nodal bradycardia and were apnoeic and unconscious with no recordable blood pressure (electromechanical dissociation). The diagnosis was confirmed in all three patients by echocardiography which showed pericardial fluid. The patients were referred for urgent cardiac surgery (infarctectomy and Teflon patching) without further investigation. All three patients survived the emergency operation, but two died soon after surgery. The third patient is alive and well five months after the operation.
M F Matangi; R M Norris; D G Hill
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The New Zealand medical journal     Volume:  96     ISSN:  0028-8446     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  1983 Dec 
Date Detail:
Created Date:  1984-02-14     Completed Date:  1984-02-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  NEW ZEALAND    
Other Details:
Languages:  eng     Pagination:  1003-5     Citation Subset:  IM    
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MeSH Terms
Cardiac Tamponade / etiology
Heart Rupture / diagnosis,  etiology,  surgery*
Middle Aged
Myocardial Infarction / complications,  surgery
Pericardial Effusion / diagnosis
Shock, Cardiogenic / etiology

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