title: [Rupture of free left ventricle wall, septum and papillary muscle in acute myocardial infarction].
abstract: The risk of complications to acute myocardial infarction (AMI), such as cardiogenic shock, is 5-10%. The cause is often left heart failure and sometimes right heart failure, but it can be mechanical AMI complications (MCA) in the form of rupture of the left ventricle and papillary muscle rupture. This risk of MCA can be reduced by sufficient revascularisation, but these rare differential diagnoses to cardiogenic shock remain important. Echocardiography is the diagnostic gold standard. First line treatment is medical and often mechanical stabilization, but this should not delay quick surgical intervention.
authors.affiliation: The Copenhagen Muscle Research Center, Det Sundhedsvidenskablige Fakultet, Københavns Universitet, Rigshospitalet, Kardiologisk Afdeling B. thomaskjeld@dadlnet.dk
authors.forename: Thomas
authors.initials: T
authors.lastname: Kjeld
authors.forename: Christian
authors.initials: C
authors.lastname: Hassager
authors.forename: Vibeke Elisabeth
authors.initials: VE
authors.lastname: Hjortdal
mesh_terms: D003937:Diagnosis, Differential; D006342:Heart Rupture, Post-Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications*; D009204:Myocardial Revascularization; D010210:Papillary Muscles; D012307:Risk Factors; D012770:Shock, Cardiogenic / Q000175:diagnosis; D014463:Ultrasonography; D018658:Ventricular Septal Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery