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Related Concept Videos

Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Myocarditis I: Introduction01:21

Myocarditis I: Introduction

Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
Myocarditis II: Clinical Features and Diagnostic Tests01:27

Myocarditis II: Clinical Features and Diagnostic Tests

Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
Angina II: Classification01:27

Angina II: Classification

Angina, also known as angina pectoris, is a chest pain resulting from diminished blood flow to the heart muscle and is often a symptom of coronary artery disease. Angina presents several variants with distinctive attributes, etiologies, and therapeutic approaches. The main types of angina include stable, unstable, variant (Prinzmetal's), microvascular, intractable, and silent ischemia.Stable angina is caused by atherosclerosis, which leads to the formation of plaques that narrow the coronary...

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Updated: May 29, 2026

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
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Published on: December 28, 2012

A severe complication after ST-segment elevation myocardial infarction (Part 2).

Anna Konopka1, Małgorzata Stępień-Wojno, Miłosz Marona

  • 1Intensive Cardiac Therapy Clinic, Institute of Cardiology, Warsaw, Poland. akonopka@ikard.pl

Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
|October 1, 2011
PubMed
Summary

A 70-year-old woman with ST-segment elevation myocardial infarction experienced ventricular septal rupture and cardiogenic shock. Surgical repair of the ventricular septal defects (VSDs) led to a good clinical outcome after conservative management.

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Area of Science:

  • Cardiology
  • Cardiac Surgery

Background:

  • ST-segment elevation myocardial infarction (STEMI) can lead to serious mechanical complications.
  • Ventricular septal rupture (VSD) is a rare but life-threatening complication following myocardial infarction.

Observation:

  • A 70-year-old female patient presented with anterior STEMI complicated by cardiogenic shock.
  • Two ventricular septal defects (VSDs) were identified as the cause of the cardiogenic shock.

Findings:

  • Initial conservative management included inotropes and intra-aortic balloon pump support for 6 weeks.
  • Surgical repair of the VSDs was successfully performed.
  • The patient achieved a good clinical outcome post-surgery.

Implications:

  • Early identification and management of VSD are crucial in STEMI patients.
  • Surgical VSD repair can be effective in improving outcomes for patients with cardiogenic shock post-MI.
  • This case highlights the potential for successful surgical intervention in complex post-MI mechanical complications.