title: Papillary muscle rupture as a first event in acute myocardial infarction.
abstract: Cardiogenic shock caused by papillary muscle rupture in acute myocardial infarction is potentially reversible by surgical treatment. A case of inferior myocardial infarction in a 56-year-old previously healthy man is reported, in which the first event was papillary muscle rupture. The patient was in shock and had a mitral insufficiency murmur. The diagnosis was made by echocardiography and ventriculography. A St. Jude valve was implanted, and the patient was discharged in good health. It is suggested that routine echocardiography be carried out on patients with sudden cardiogenic shock, when a mitral murmur is present.
authors.affiliation: Department of Cardiology, Aalborg Hospital, Denmark.
authors.forename: H T
authors.initials: HT
authors.lastname: Sørensen
authors.forename: F
authors.initials: F
authors.lastname: Nielsen
authors.forename: J
authors.initials: J
authors.lastname: Sørensen
mesh_terms: D006341:Heart Rupture / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D008945:Mitral Valve Prolapse / Q000209:etiology / Q000601:surgery; D009203:Myocardial Infarction / Q000150:complications*