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Updated: Oct 18, 2025

Myocardial Infarction and Functional Outcome Assessment in Pigs
Published on: April 25, 2014
Acute Dyspnea After Inferior-Wall Myocardial Infarction
A Shaheer Ahmed1, Nitish Rai, Gauravkumar Divani
1Department of Cardiology, 7th floor, Super Speciality Block, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India. ahmedshaheer53@gmail.com.
Abstract:
A 57-year-old woman presented with acute-onset dyspea with a duration of more than 2 days. Four days earlier, she had been thrombolyzed with streptokinase for inferior wall myocardial infarction in a nearby hospital. On examination, we found that the patient had elevated jugular venous pressure and systolic murmur in left lower parasternal region. In addition, there was a ventricular septal rupture in the posterobasal interventricular septum, with at least 2 exit points into the right ventricle. Timely identification of ventricular septal rupture before PCI is of paramount importance, as it has major implications in management of the patient.
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