Double ventricular rupture after inferolateral myocardial infarction : a rare mechanical complication

Autor: Rigueira, Joana, Silva, Gustavo Lima da, Silva, Pedro Canas da, Pinto, Fausto J., Cardoso, Pedro Pinto
Přispěvatelé: Repositório da Universidade de Lisboa
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Repositório Científico de Acesso Aberto de Portugal
Repositório Científico de Acesso Aberto de Portugal (RCAAP)
instacron:RCAAP
Popis: © 2019 by the American College of Cardiology Foundation. Published by Elsevier.
An 80-year-old female patient presented to emergency department with cardiogenic shock. In the previous week, she had intermittent episodes of oppressive chest pain. The night before, she had another episode that persisted for several hours. The following afternoon, she collapsed and the prehospital emergency team was triggered. On admission, she was hypotensive (60/30 mm Hg) and needed support with norepinephrine. The electrocardiogram revealed inferolateral ST-segment elevation, with inferior, posterior, and lateral wall akinesia and an anterior moderate pericardial effusion, with neither right atrial nor right ventricular (RV) collapse on transthoracic echocardiography.
Databáze: OpenAIRE