| Ventricular septal rupture: a review of clinical and physiologic features and an analysis of survival. | |
| | |
MedLine Citation:
|
PMID: 7020978 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Forty-one patients with postinfarction ventricular septal rupture were cared for in our hospital during 1971-1975. Cardiogenic shock developed after septal rupture in 55% of these patients. Shock was unrelated to site of infarction, extent of coronary artery disease, left ventricular ejection fraction, or pulmonary-to-systemic flow ratio, but mean pulmonary artery pressure was lower in shock than in nonshock patients. These observations suggest that shock was produced mainly by right ventricular impairment. Perioperative survival was much higher in patients who did not have shock preoperatively (14 of 17 [82+]) than in those who did (three of 11 [27%]). Magnitude of shunt, left ventricular ejection fraction, extent of coronary artery disease, and performance of aortocoronary bypass grafting were not distinctly correlated with perioperative survival. After a minimum 4-year follow-up, 76% of the perioperative survivors are alive, and none suffer more than New York Heart Association functional class II disability. All 13 unoperated patients (11 in shock) died within 3 months. |
| | |
Authors:
|
M J Radford; R A Johnson; W M Daggett; J T Fallon; M J Buckley; H K Gold; R C Leinbach |
Related Documents
:
|
10618308 - Staphylococcal alpha-toxin provokes coronary vasoconstriction and loss in myocardial co... 10353148 - Inappropriate implantable cardioverter-defibrillator therapy due to the detection of pr... 7073888 - Interocular transfer of cardiac conditioning in the pigeon. 7924378 - Quantitated left ventricular systolic mechanics in children with septic shock utilizing... 6471348 - Effects and limitation of ccu--prevention of evolving myocardial infarction. 19055978 - Outpatient neuroimaging of stroke. |
Publication Detail:
|
Type: Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.; Review |
Journal Detail:
|
Title: Circulation Volume: 64 ISSN: 0009-7322 ISO Abbreviation: Circulation Publication Date: 1981 Sep |
Date Detail:
|
Created Date: 1981-10-25 Completed Date: 1981-10-25 Revised Date: 2007-11-14 |
Medline Journal Info:
|
Nlm Unique ID: 0147763 Medline TA: Circulation Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 545-53 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Blood Pressure Coronary Artery Bypass Female Follow-Up Studies Heart Rupture / etiology*, radiography, surgery Heart Septum* Heart Ventricles / physiopathology Humans Male Middle Aged Myocardial Infarction / complications* Pulmonary Artery Shock / etiology Stroke Volume |
| Grant Support | |
ID/Acronym/Agency:
|
HL-17655/HL/NHLBI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Prostaglandin synthesis by glomeruli isolated from rats with glycerol-induced acute renal failure.
Next Document: The use of echocardiography in diagnosing culture-negative endocarditis.