Out-of-hospital sudden death from left ventricular free wall rupture during acute myocardial infarction as the first and only manifestation of atherosclerotic coronary artery disease

A Study of Heart Enzyme Profile in Myocardial Infarction

“…In our enquiry, 30-40% females were observed to have myocardial infarction, which is less than males. Shirani et al reported a case study of myocardial rupture [20]. This is supported by the fact that the yearly enrolment of the female patients in the Coronary Care Unit of Mayo Hospital Lahore was far less than that of the male patients.…”

“…The project may be extended further by relating the enzyme levels with the clinical symptoms of myocardial infarction as here it was observed that majority of the patients did encounter severe chest pain after the onset of the disease, while some patients were also encountered with myocardial infarction without chest pain. The signal in this direction has already been given [14,20].…”

Usefulness of Delayed Enhancement Magnetic Resonance Imaging for Detecting Cardiac Rupture Caused by Small Myocardial Infarction in a Case of Cardiac Tamponade

“…The risk factors for cardiac rupture are older women, first MI with 1-vessel disease, anterior wall infarction, poor collateral branches, and a history of hypertension. [9][10][11][12] The present case was initially diagnosed as cardiac tamponade of unknown cause, as the patient had not experienced the typical chest pain before losing consciousness. Serological findings suggested a recent MI, but electrocardiography, echocardiography and stress 201 Tl myocardial SPECT failed to provide precise information about an infarct or a ruptured lesion.…”

Durchblutungsstörungen des Myokard

“…Patienten mit Herzruptur haben meist ihren ersten Infarkt, eine insgesamt geringer ausgepragte Koronarsklerose als Infarkttodesfalle ohne Ruptur (s. BARBOUR u. ROBERTS 1986;MANN u. ROBERTS 1988a, b;SHIRANI et al 1994) und nur unzureichende Kollateralen (s. NAKAMURA et al 1992;NAKATSUCHI et al 1994;CHERIEX et al 1995). All diese Faktoren begunstigen die Entstehung transmuraler Infarkte und diese erleichtern eine Ruptur, weil sie bis ganz dicht an das Endo-und Epikard heranreichen.…”

“…B. von NAKANO et al (1985) mit 20 % in der ersten Stunde und 40 % innerhalb des ersten Tages. Aber Rupturen konnen auch erste Manifestationen einer koronaren Herzerkrankung sein (s. SHIRANI et al 1994), vor allem bei Diabetikern (ZAGHER et al 1996). Wenn man genaue histologische Altersbestimmungen der Infarkte durchfiihrt, sind nach eigener Erfahrung viele der vermeintlichen Fruhrupturen deutlieh spater als am 1.…”