Back to Search
Start Over
Cardiac Rupture Due to Reinfarction in the Early Phase of Apical Myocardial Infarction
- Source :
- International Heart Journal. 60:974-978
- Publication Year :
- 2019
- Publisher :
- International Heart Journal (Japanese Heart Journal), 2019.
-
Abstract
- A 72-year-old woman with hypertension, dyslipidemia, and diabetes mellitus presented to our hospital because of the sudden onset of chest pain. Emergency coronary angiography showed acute occlusion of the distal left anterior descending artery and coronary intervention with a drug-eluting stent was performed. Sudden cardiopulmonary arrest occurred on the sixth day of hospitalization, but coronary angiography showed no remarkable progression of the coronary artery diseases, including the site of stent implantation. An autopsy revealed that the cause of the sudden death was apical free wall rupture. In addition, the different timing of acute and sub-acute infarct findings were observed in the apical wall by histology, which indicated cardiac rupture was due to reinfarction at early phase of apical acute myocardial infarction. Although the rate of mechanical complications, including cardiac rupture, is decreasing in the era of primary coronary intervention, in addition to the well-known risk factors of cardiac rupture, the reinfarction of the culprit myocardial site in the early phase of acute myocardial infarction was considered as a possible risk factor of cardiac rupture.
- Subjects :
- medicine.medical_specialty
Heart Ventricles
medicine.medical_treatment
Heart Rupture
Autopsy
030204 cardiovascular system & hematology
Coronary Angiography
Chest pain
Sudden death
Culprit
Electrocardiography
03 medical and health sciences
Fatal Outcome
0302 clinical medicine
Recurrence
Internal medicine
medicine
Humans
030212 general & internal medicine
Myocardial infarction
Risk factor
Aged
business.industry
Myocardium
Cardiac Rupture
Stent
General Medicine
medicine.disease
Echocardiography
Cardiology
ST Elevation Myocardial Infarction
Female
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 13493299 and 13492365
- Volume :
- 60
- Database :
- OpenAIRE
- Journal :
- International Heart Journal
- Accession number :
- edsair.doi.dedup.....dc011f47640ca3390e2a7bfe41fb961a