A change of the cause of death in myocardial infarction and the beneficial effect of vasodilator therapy on cardiac rupture following myocardial infarction.

Summary:To investigate the pathophysiology of cardiac free wall rupture (cardiac rupture) following acute myocardial infarction (AMI), and to clarify whether reperfusion therapy prevents cardiac rupture, 1,329 cases of AM1 (conventional therapy group: 807 cases and reperfusion therapy group: 533 cases) were studied retrospectively. The overall incidence of cardiac rupture was 2.3% (2.7% in the conventional therapy group vs. 1.7% in the reperfusion therapy group). Patients with cardiac rupture were divided into two subgroups according to the time interval from the onset of AM1 to cardiac rupture (early rupture S72 h and late rupture 24 days). The indices of initial evolution of AM1 was a significant risk of early cardiac rupture. The reperfusion therapy group showed significantly lower incidence of late rupture (0.4 vs. 1.5% in conventional therapy group; p

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Cardiac free wall rupture in acute myocardial infarction: Ameliorative effect of coronary reperfusion

Nakamura

Nagano

Higaki

et al. 1992

Clinical Cardiology

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Emergency Department Two-Dimensional Echocardiography in the Diagnosis of Nontraumatic Cardiac Rupture

Plummer

Dick²,

Ruiz³

et al. 1994

Annals of Emergency Medicine

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A change of the cause of death in myocardial infarction and the beneficial effect of vasodilator therapy on cardiac rupture following myocardial infarction.

Cited by 2 publications

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Cardiac free wall rupture in acute myocardial infarction: Ameliorative effect of coronary reperfusion

Cardiac free wall rupture in acute myocardial infarction: Ameliorative effect of coronary reperfusion

Emergency Department Two-Dimensional Echocardiography in the Diagnosis of Nontraumatic Cardiac Rupture

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