title: Left ventricular free wall rupture after reperfusion therapy for acute myocardial infarction.
abstract: We evaluated the clinical significance of angiographic indexes and pericardial involvement in predicting increased risk of free wall rupture after reperfusion therapy and found that Thrombolysis In Myocardial Infarction (TIMI) <3 flow grade after reperfusion therapy was a significant variable related to the free wall rupture. Moreover, pericardial rub was found to be a significant variable related to TIMI <3 grade flow after reperfusion, which indicates that detection of pericardial rub is one of the clinical signs that predicts inadequate anterograde flow of the infarct-related artery after reperfusion and hence, higher risk for free wall rupture.
authors.affiliation: Department of Clinical Laboratory Medicine, Kochi Medical School, Kochi, Japan. sugiurat@med.kochi-ms.ac.jp
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Sugiura
authors.forename: Yo
authors.initials: Y
authors.lastname: Nagahama
authors.forename: Seishi
authors.initials: S
authors.lastname: Nakamura
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Kudo
authors.forename: Fumiyasu
authors.initials: F
authors.lastname: Yamasaki
authors.forename: Toshiji
authors.initials: T
authors.lastname: Iwasaka
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D004452:Echocardiography; D005260:Female; D006342:Heart Rupture, Post-Infarction / Q000175:diagnosis / Q000453:epidemiology*; D006352:Heart Ventricles; D006801:Humans; D015994:Incidence; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D015425:Myocardial Reperfusion / Q000706:statistics & numerical data*; D010490:Pericardial Effusion / Q000453:epidemiology; D011237:Predictive Value of Tests; D012044:Regression Analysis; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods