title: [External heart rupture in myocardial infarct (clinical picture, prospects for resuscitation)].
abstract: An analysis is presented on 53 cases of external ruptures of the heart in cases of transmural myocardial infarction. Most of the patients were above 60 years of age, with a hypertensive syndrome, with intensive, protracted, often recurring cardiac and retrosternal pains. The pains were interpreted as the manifestation of myocardial rupture. Blood tests revealed a high leucocytosis, an elevated level of lactate dehydrogenase and catecholamines excretion, mainly at the expense of noradrenaline, as well as an increased amount of serotonin, histamine, magnesium salts. A sudden onset of a catastrophic deterioration in the form of a cardiogenic shock was interpreted as a partial rupture with a progressively increasing penetrating rupture; clinical death with a preserved electrical activity of the heart--as its complete rupture. Cases of temporary efficieny resuscitation with a survival period in some cases of as long as 3 days are presented. The authors believe it possible to foresee a myocardial rupture, to diagnose it before the electrical activity of the heart ceases, to maintain the life of the patient so as to permit a cardiac surgical team to undertake an operative procedure.
mesh_terms: D015062:11-Hydroxycorticosteroids / Q000097:blood; D000328:Adult; D000368:Aged; D001145:Arrhythmias, Cardiac / Q000209:etiology; D004562:Electrocardiography; D005260:Female; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D007958:Leukocyte Count; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D010146:Pain; D011379:Prognosis; D012151:Resuscitation; D012422:Rupture, Spontaneous; D012770:Shock, Cardiogenic / Q000209:etiology; D013577:Syndrome
chemical_list: D015062:11-Hydroxycorticosteroids
vernacular_title: O naruzhnykh razryvakh serdtsa pri infarkte miokarda (nekotorye voprosy kliniki, perspektivy reanimatsii)