Emergency department recognition of acquired ventricular septal defect.
Acute myocardial infarction associated with ventricular septal defect (VSD) occurs infrequently. When a patient with an acquired VSD presents to the emergency department (ED), prompt recognition is required because definitive treatment can greatly decrease mortality. We present the case of a 75-year-old woman with an acute myocardial infarction and a new heart murmur. The diagnosis of acquired VSD was made by echocardiography in the ED, and emergency surgical correction was arranged.
Beeson
M S
MS
Summa Health System, Department of Emergency Medicine, Akron, OH 44309, USA.
Schiavone
W A
WA
D000208:Acute Disease; D000368:Aged; D018618:Echocardiography, Doppler, Color; D004562:Electrocardiography; D004636:Emergency Service, Hospital; D005260:Female; D006337:Heart Murmurs / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications; D018658:Ventricular Septal Rupture / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery