Temporal Trends and Outcomes of Mechanical Complications in Patients With Acute Myocardial Infarction

Ventricular Septal Rupture in 2 Patients Presenting Late after Myocardial Infarction during the COVID-19 Pandemic

“…At the time of this writing, the authors were aware of 3 additional VSR cases treated during the pandemic at our institution. Historically reported to occur in 0.21% of hospitalizations for STEMI ( 1 ), the occurrence of 5 VSR cases at a single institution during the pandemic was indeed curious. Among 366 patients treated for STEMI at the authors’ institution in 2019, 2 (0.5%) had VSR.…”

“…Mechanical complications of myocardial infarction are rare in the reperfusion era ( 1 , 2 ). During the coronavirus-2019 (COVID-19) pandemic, reports of presentations of ST-segment elevation myocardial infarction (STEMI) have decreased ( 3 ).…”

Insuficiencia mitral aguda secundaria a rotura de músculo papilar, posinfarto agudo de miocardio durante la pandemia COVID-19. Reporte de caso

“…Desde la introducción de la intervención coronaria percutánea primaria (ICP) como estrategia principal de reperfusión, la incidencia de complicaciones mecánicas del IAM se ha reportado en 0,3%, ocurriendo con mucha mayor frecuencia en los IAMCEST que en los IAM sin elevación del segmento ST. También se ha observado que la incidencia es mayor en los pacientes tratados con fibrinólisis cuando se compara con aquellos que recibieron ICP (1) . Sin embargo, su presencia continúa implicando alta mortalidad a corto y largo plazo.…”

“…Rev Urug Cardiol 2020; 35: 244-248 doi: 10.29277/cardio.35. 2.16 Recibido May 12, 2020; aceptado May 22, 2020. músculo papilar anterolateral (MPAL), ya que en el primero la perfusión se realiza a través de una sola arteria coronaria (1,2) .…”

Feasibility of management of hemodynamically stable patients with acute myocardial infarction following primary percutaneous coronary intervention in the general ward settings

“…CCU use is potentially beneficial for patients with cardiogenic shock (Killip 4) or requiring mechanical circulatory support, who were excluded from this study. On the other hand, hemodynamically stable patients undergoing PCI could be managed safely in the GW, probably because the rate of life-threatening ventricular arrhythmias and mechanical complications in acute MI has been largely reduced by early reperfusion therapy, particularly by primary PCI [9,10], with a reported incidence of 0.27% in STEMI and 0.06% in NSTEMI [17]. Indeed, the reported in-hospital mortality rate of patients with acute MI following primary PCI is quite low: 2.2%-6.1% among European countries and 2.7%/0.7% in patients with STEMI/ NSTE-ACS in Japan [5,6].…”