Abstract
Introduction
In patients with acute myocardial infarction, left ventricular free wall rupture is an infrequent complication (2–4%) but it is associated with a high mortality from pericardial tamponade.1-8 It accounts for 5–24% of all in hospital deaths related to acute myocardial infarction.4,6,9,10. To reduce this high mortality it is important to improve the way in which these patients are classified, as this may help clinicians anticipate myocardial rupture, prevent it occurring, and achieve better therapeutic results when it does occur. Left ventricular free wall rupture (LVFWR) is a rare complication that can occur after suffering a myocardial infarction (MI). The incidence of LVFWR has decreased dramatically over the years with the increased use of reperfusion strategies such as percutaneous coronary intervention (PCI) and fibrinolytic therapy, with an overall incidence ranging from 0.8% to 6.2%[1]. LVFWR is most likely to occur 1–4 days after the initial myocardial insult, andis one of the more deadly complications of MI[2].
References
- London RE, London SB (1965) Rupture of the heart. A critical analysis of 47 consecutive autopsy cases. Circulation 31:202–208.FREE Full Text Google Scholar
- Friedman HS, Kuhn LA, Katz AM(1971) Clinical and electrocardiographic features of cardiac rupture following acute myocardial infarction. Am J Med 50:709–720.Cross Ref PubMed Web of Science Google Scholar
- Bates R, Beutler S, Resnekov L, et al.(1977) Cardiac rupture—challenge in diagnosis and management. Am J Cardiol 40:429–437.CrossRef PubMed Web of Science Google Scholar
- Rasmussen S, Leth A, Kjoller E, et al. (1979) Cardiac rupture in acute myocardial infarction. A review of 72 consecutive cases. Acta Med Scand 205:11–16. PubMed Web of Science Google Scholar
- Dellborg M, Held P, Swedberg K, et al.(1985) Rupture of the myocardium. Occurrence and risk factors. Br Heart J 54:11–16Abstract/FREE Full Text Google Scholar
- Shapira I, Isakow A, Burke M, et al. (1987) Cardiac rupture in patients with acute myocardial infarction. Chest 92:219–223.Cross Ref PubMed Web of Science Google Scholar
- Pollack H, Miczoch J (1994) Effect of nitrates on the frequency of left ventricular free wall rupture complicating acute myocardial infarction: a case-controlled study. Am Heart J 128:446–471.Google Scholar
- Blinc A, Noc M, Pohar B, et al. (1996) Subacute rupture of the left ventricular free wall after acute myocardial infarction. Three cases of long-term survival without emergency surgery. Chest 109:565–567. CrossRef PubMed Web of Science Google Scholar
- Lewis AJ, Burchell HB, Titus JL (1969) Clinical and pathologic features of post-infarction cardiac rupture. Am J Cardiol 23:43–53.CrossRef PubMed Web of Science Google Scholar
- Reddy SG, Roberts WC (1989) Frequency of rupture of the left ventricular free wall or ventricular septum among necropsy cases of fatal acute myocardial infarction since introduction of coronary care units. Am J Cardiol 63:906–911. Cross Ref PubMed Web of Science Google Scholar
- Batts K, Ackermann DM, Edwards WD (1990) Postinfarction rupture of the left ventricular free wall: clinicopathologic correlates in 100 consecutive autopsy cases. Hum Pathol 21:530–535. CrossRef PubMed Web of Science Google Scholar
- Naeim F, De la Maza LM, Robbins SL (1972) Cardiac rupture during myocardial infarction. A review of 44 cases. Circulation 45:1231–1239. Abstract/FREE Full Text Google Scholar
- Figueras J, Curos A, Cortadellas J, et al. (1995) Relevance of electrocardiographic findings, heart failure, and infarct site in assessing risk and timing of left ventricular free wall rupture during acute myocardial infarction. Am J Cardiol 76:543–547. CrossRef PubMed Web of Science Google Scholar
- Mann JM, Roberts WC (1988) Rupture of the left ventricular free wall during acute myocardial infarction: analysis of 138 necropsy patients and comparison with 50 necropsy patients with acute myocardial infarctions without rupture. Am J Cardiol 62:847–859.CrossRef PubMed Web of Science Google Scholar
- Oliva PO, Hammill SC, Edwards WE (1993) Cardiac rupture, a clinically predictable complication of acute myocardial infarction: report of 70 cases with clinicopathologic correlations. J Am Coll Cardiol 22:720–726. Cross Ref PubMed Web of Science Google Scholar
- Figueras J, Cortadellas J, Calvo F, et al. (1998) Relevance of delayed hospital admission on development of cardiac rupture during acute myocardial infarction. Study in 225 patients with free wall, septal or papillary muscle rupture. J Am Coll Cardiol 32:135–139.CrossRef PubMed Web of Science Google Scholar
- Purcaro A, Constantini C,Ciampani N, et al. (1997) Diagnostic criteria and management of subacute ventricular free wall rupture complicating acute myocardial infarction. Am J Cardiol 80:397–405.CrossRef PubMed Web of Science Google Scholar
- Wessler S, Zoll PM, Schlesinger MJ (1952) The pathogenesis of spontaneous cardiac rupture. Circulation 6:334–351. Abstract/FREE Full Text Google Scholar
- Nakano M, Konishi T, Takezawa H (1985) Potential prevention of myocardial rupture resulting from acute myocardial infarction. Clin Cardiol 8:199–204. PubMed Web of Science Google Scholar
- Lautsch FV, Lanks KW (1967) Pathogenesis of cardiac rupture. Arch Pathol 84:264–271. PubMed Web of Science Google Scholar
Corresponding Author
Dr Shashikant Singh
DOI: https://dx.doi.org/10.18535/jmscr/v10i5.19
