Echocardiographic assessment of the incidence of mechanical complications during the early phase of myocardial infarction in the reperfusion era: a French multicentre prospective registry

Abstract

This study demonstrates the favourable prognostic influence of early revascularisation as shown by the low incidence of mechanical complications after AMI, and underlines the persistent relationship between the development of these complications and depressed LV function.

Predictive Factors of Pericardial Effusion After a First Acute Myocardial Infarction and Successful Reperfusion

“…1 Consequently, free wall rupture occurrence has decreased to <1%. 2,24 Our study provides confirmation of this observation in a homogenous cohort of patients with successful revascularization. A key point of our study is to suggest that moderate-to-severe PE should no longer be considered a precursor sign toward tamponade or free wall rupture.…”

“…1,8 Similar results were obtained for the risk of rupture. 2,24 MVO is one other determinant of PE. Although case reports 12 did not completely elucidate the role of MVO in PE constitution, Kloner et al 5 showed that the end stage of endothelial lesions was responsible for endothelial rupture and intramyocardial hemorrhage.…”

2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction

“…515 Asymptomatic pericardial effusions are common after STEMI. 516,517 It is important to exclude free-wall rupture when a pericardial effusion is present, 518,519 especially if the by guest on May 11, 2018 http://circ.ahajournals.org/ Downloaded from e395 width of the effusion is >1 cm. 520 When tamponade is present, freewall rupture, hemorrhagic conversion, or aortic dissection should be considered.…”

Localized pericarditis leading to clinical tamponade with profound shock status and syncope as a major clinical manifestation after posterior wall myocardial infarction—Characterization and descriptive findings by real-time 3-dimensional echocardiography

“…Hemopericardium presented as acute pericarditis after infarction could be an malignant sign of subsequent ventricular rupture, leading to higher mortality rate [5]. In fact, there was a very low incidence (nearly 5%) of pericardial manifestations without cardiac rupture on the first day of MI in the modern era or reperfusion [6,7]. Pericardial involvement in the context of pericarditis following MI without subsequent rupture had also been shown to be associated with unfavorable outcomes [8,9].…”