Acute Left Ventricular Rupture Following Posterior Wall Myocardial Infarction

DOI Web Site 24 References
  • Huang Chi-Ming
    Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital
  • Chen Li-Wei
    National Yang-Ming University Hospital
  • Huang Sung-Hao
    National Yang-Ming University Hospital School of Medicine, National Yang-Ming University
  • Huang Shao-Sung
    Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital School of Medicine, National Yang-Ming University
  • Wang Kang-Ling
    Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital School of Medicine, National Yang-Ming University General Clinical Research Center, Department of Research and Medical Education, Taipei Veterans General Hospital
  • Chiang Chern-En
    Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital School of Medicine, National Yang-Ming University General Clinical Research Center, Department of Research and Medical Education, Taipei Veterans General Hospital

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Abstract

Free wall rupture, the most fearful complication of myocardial infarction, mostly attacks anterior walls. Acute rupture is characterized by rapid development of mechanical arrest accompanied with bradyarrhythmia or electromechanical dissociation. The majority of patients succumb to death as the result of cardiac tamponade. Risk factors are advanced age, female gender, the first-time myocardial infarction, hypertension, and ST-segment elevation. We report a rare case of posterior wall myocardial infarction complicated with left ventricular rupture initially presenting with junctional escape rhythm.<br>

Journal

  • Internal Medicine

    Internal Medicine 49 (14), 1387-1390, 2010

    The Japanese Society of Internal Medicine

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