Atypical development of free wall rupture during myocardial infarction

Česká verzia

Authors: D. Karpianus; F. Toušek; Š. Šindelářová; R. Krejčí
Authors place of work: České Budějovice ; Primář: MUDr. František Toušek, FESC. ; Kardiocentrum – kardiologie, Nemocnice České Budějovice, a. s.
Published in the journal: Prakt. Lék. 2009; 89(3): 140-142
Category: Case Report

Summary

Our case report describes a 63-year-old female patient who was hospitalized in our department after having had chest pains for over 2 days and who was suffering from increasing breathlessness. ECG recording showed inferolateral ST segment elevation but without the development of Q wave, which is typical during subacute myocardial infarction (MI) of inferior wall. Since the patient had been suffering from chest pain for more than two days, an echocardiographic examination (TTE) was required before surgical intervention could be carried out. This proved to be the right decision because echocardiography detected free wall rupture. After selective coronarography, the patient was transferred to the Department of Cardiac surgery where surgery was performed.

Key words:
acute myocardial infarction, free wall rupture, cardiac tamponade.

Zdroje

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