Comparison of incidence of cardiac rupture among patients with acute myocardial infarction treated by thrombolysis versus percutaneous transluminal coronary angioplasty

Solodky, Alejandro; Behar, Solomon; Herz, Itzhak; Assali, Abbid; Porter, Avital; Hod, Hanoch; Boyko, Valentina; Battler, Alexander; Birnbaum, Yochai

doi:10.1016/s0002-9149(01)01471-0

Cited by 28 publications

(30 citation statements)

References 15 publications

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“…15,24,25 Among patients with CTw/oEMD, the number of operated cases was also low, and surgical mortality was comparable to existing series. 3,14,29 Nevertheless, it was not lower than in medically treated patients.…”

Section: Figueras Et Al Pericardial Effusion In Stemi Patientsmentioning

confidence: 53%

“…1,15,31 This incidence of CT was higher than that reported for STEMI patients in general (0.9% to 2%). 20,[22][23][24][25] Unfortunately, however, no specific features allowed identification of those patients who finally developed CT other than it was a late event. Thus, we believe that more refinement is needed in the diagnostic tools aimed to clarify the source of PE and to identify those patients at high risk of EMD.…”

Section: Management and Outcomementioning

confidence: 99%

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Hospital Outcome of Moderate to Severe Pericardial Effusion Complicating ST-Elevation Acute Myocardial Infarction

et al. 2010

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Background-Hospital prognosis of moderate to severe pericardial effusion (MPE; Ն10 mm) in ST-elevation myocardial infarction is largely unknown. Methods and Results-Data from 446 ST-elevation myocardial infarction patients, 228 with MPE-88 with cardiac tamponade (CT) and electromechanical dissociation (EMD), 44 with CT without EMD (w/oEMD), and 96 without initial CT-and 218 with small PE (5 to 9 mm), were compared. Patients with MPE without initial CT were also compared with 96 patients without PE. CT patients showed larger PE (PϽ0.001) than those without initial CT; 85% of those with CTϩEMD and 86% with CTw/oEMD were treated with pericardiocentesis and 10% and 21% were treated with a surgical repair, respectively. Among MPE patients, 30-day mortality was 43% and was higher in those with CTϩEMD (operated, 89%; and nonoperated, 85%) than in those with CTw/oEMD (22% and 11%, respectively; PϽ0.001) and those without initial CT (17%; PϽ0.001). It was also higher than in patients with small PE (10%; PϽ0.001) or those without PE (6%; Pϭ0.001). Death was attributable to cardiac rupture in 83% of patients with CTϩEMD, 7% with CTw/oEMD, and 8% with MPE without initial CT and occurred late (Ն7 days) in 14%, 67%, and 100%, respectively. Conclusions-MPE carries an increased mortality that is highest in patients with CTϩEMD. In those with CTw/oEMD, however, mortality is considerably low after pericardiocentesis, and subsequent management may be individualized because a conservative approach is often successful. Importantly, MPE patients without initial CT are not free from late rupture and deserve further investigation.

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Section: Figueras Et Al Pericardial Effusion In Stemi Patientsmentioning

confidence: 53%

Section: Management and Outcomementioning

confidence: 99%

Hospital Outcome of Moderate to Severe Pericardial Effusion Complicating ST-Elevation Acute Myocardial Infarction

et al. 2010

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“…It has been suggested that the most commonly affected region may be the anterior wall [52], but larger studies are needed to confirm these observations. Female gender [4,43,49,[53][54][55][56][57][58][59][60], older age (>65) [2,4,42,43,49,53 -57,59,60], and hypertension [42,49,54,57] have also been reported as risk factors. On the other hand, patients with diabetes seem to be relatively protected against cardiac rupture [41,59,61].…”

Section: Risk Factors For Cardiac Rupturementioning

confidence: 99%

Cardiac rupture complicating myocardial infarction

Wehrens¹,

Doevendans²

2004

International Journal of Cardiology

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“…At present, for example, the postulated protective effects of ␤-blockers have been questioned by some reports, [11][12][13][14] and the potential benefit of angiotensin-converting enzyme (ACE) inhibitors has received little attention. Moreover, although reperfusion therapy appears to reduce the incidence of this event, 3,[15][16][17][18][19][20][21][22] its effects on death resulting from CR are less apparent, 3,5,16 -20,23 and the beneficial effects of thrombolysis are not uniformly accepted. 24 -26 …”

mentioning

confidence: 99%

Changes in Hospital Mortality Rates in 425 Patients With Acute ST-Elevation Myocardial Infarction and Cardiac Rupture Over a 30-Year Period

et al. 2008

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Background-Possible changes in the incidence and outcome of cardiac rupture in patients with ST-elevation myocardial infarction over a long period of time have not been investigated. Methods and Results-The incidence of cardiac rupture in ST-elevation myocardial infarction patients and its mortality rate were investigated during a 30-year period divided into 5 intervals (1977 to 1982, 1983 to 1988, 1989 to 1994, 1995 to 2000, and 2001 to 2006

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Comparison of incidence of cardiac rupture among patients with acute myocardial infarction treated by thrombolysis versus percutaneous transluminal coronary angioplasty

Cited by 28 publications

References 15 publications

Hospital Outcome of Moderate to Severe Pericardial Effusion Complicating ST-Elevation Acute Myocardial Infarction

Hospital Outcome of Moderate to Severe Pericardial Effusion Complicating ST-Elevation Acute Myocardial Infarction

Cardiac rupture complicating myocardial infarction

Changes in Hospital Mortality Rates in 425 Patients With Acute ST-Elevation Myocardial Infarction and Cardiac Rupture Over a 30-Year Period

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