Clinical Manifestations of Papillary Muscle Dysfunction

摘要: The sudden development of a harsh apical systolic murmur in patient with recent myocardial infarct is usually considered to indicate rupture papillary muscle or perforation the interventricular septum.1,2the differential diagnosis loud precordial onset may be difficult and describe syndrome whereby such occur secondary mechanical dysfunction muscle. Illustrative Patients Patient 1. —An 85-year-old white male, previously good health, was admitted hospital severe crushing substernal pain which he had for several hours. His blood pressure 135/75 mm Hg, his pulse rate 88 per minute regular. lungs were clear on auscultation. heart not enlarged, there no murmurs gallop sounds. electrocardiogram admission showed an acute anteroseptal infarct. serum glutamic oxaloacetic transaminase (SGOT) 165