[Heart rupture as a complication of myocardial infarct in the acute stage. Case contributions and clinical course of survivors].
Heart rupture was found in 25 (4.4%) of 560 patients with myocardial infarction admitted to the Coronary Care Unit of the Department of Cardiology, Padua Medical School. Ten (40%) of them had a breaking of the free wall, 10 the interventricular septum, 4 (16%) a papillary muscle and 1 (4%) the ventricular wall with formation of a pseudoaneurysm. Thirteen patients died suddenly, the other 12 (48%) had cardiac catheterisation and later surgery. Four patients with interventricular defect died immediately after surgery, the other patients were discharged. Mortality was 68%; 30% on the patients with VSD as well as those with papillary muscle rupture and pseudo aneurysm survived.
D005260:Female; D006341:Heart Rupture / Q000209:etiology* / Q000401:mortality; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D009203:Myocardial Infarction / Q000150:complications*
La rottura di cuore quale complicanza dell'infarto miocardico in fase acuta. Contributo casistico ed evoluzione clinica dei sopravvissuti.