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Cardiac Rupture: New Features of the Old Disease

Marina Leitman1, Ludmila Tsatskin, Alberto Hendler

  • 1Department of Cardiology, Assaf Harofeh Medical Center, Zerifin, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

Cardiology
|January 14, 2016
PubMed

Insights

Myocardial rupture following acute myocardial infarction remains fatal, though primary percutaneous coronary intervention may reduce risk. Early echocardiography and surgery are crucial for improving survival in these critical cases.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Interventional Cardiology

Background:

  • Myocardial rupture is a rare but fatal complication of acute myocardial infarction.
  • Treatment strategies for acute myocardial infarction have evolved, with primary percutaneous coronary intervention replacing fibrinolytic therapy.

Purpose of the Study:

  • To describe patients who experienced myocardial rupture without prior thrombolytic therapy.
  • To analyze demographic, clinical, angiographic, and echocardiographic data in these patients.

Main Methods:

  • Retrospective analysis of hospital database (2008-2015).
  • Inclusion of patients with myocardial rupture post-acute myocardial infarction.
  • Analysis of demographic, clinical, angiographic, and echocardiographic data.

Main Results:

  • 12 out of 2,380 patients (0.5%) developed myocardial rupture.
  • Mean age was 78 years; 10 patients had pericardial effusion on admission.
  • Surgical intervention improved survival, while conservative treatment resulted in mortality. Advanced age and cognitive impairment were risk factors.

Conclusions:

  • Primary percutaneous intervention may reduce myocardial rupture risk, but mortality is high.
  • Early echocardiography and prompt surgical intervention are vital for improving survival outcomes.
Abstract

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