Left ventricular free wall rupture after reperfusion therapy for acute myocardial infarction.
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.
Sugiura
Tetsuro
T
Department of Clinical Laboratory Medicine, Kochi Medical School, Kochi, Japan. sugiurat@med.kochi-ms.ac.jp
Nagahama
Yo
Y
Nakamura
Seishi
S
Kudo
Yoshihiro
Y
Yamasaki
Fumiyasu
F
Iwasaka
Toshiji
T
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