Myocardial rupture in acute myocardial infarction: report of experience and review.

作者: F Kerr , L J Haywood

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摘要: A review of eight cases myocardial rupture following infarction confirmed the association with advanced age, a preponderance females, hypertension, and physical exercise after infarction. In four patients, electrocardiograms recording events showed further S-T elevation, supraventricular tachycardia, conduction defects. One case septal increase in amplitude P waves. The combination these changes sudden reappearance chest pain, development or worsening congestive cardiac failure hypotension, appearance precordial systolic murmur should aid earlier diagnosis this complication which may be amenable to surgery. Successful repair has been reported during acute phase variable periods delay.

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