select ad.sno,ad.journal,ad.title,ad.author_names,ad.abstract,ad.abstractlink,j.j_name,vi.* from articles_data ad left join journals j on j.journal=ad.journal left join vol_issues vi on vi.issue_id_en=ad.issue_id where ad.sno_en='57355' and ad.lang_id='5' and j.lang_id='5' and vi.lang_id='5' "Swiss-Cheese" Ventricles in Acute Myocardial Infarction | 57355
Cardiologie clinique et expérimentale

Cardiologie clinique et expérimentale
Libre accès

ISSN: 2155-9880

Abstrait

"Swiss-Cheese" Ventricles in Acute Myocardial Infarction

Ramachandran Muthiah

Myocardial rupture is a catastrophic complication of acute myocardial infarction with an incidence of 10% of cases and most often occurs near the edge of the necrotic myocardium. It involves the free walls of ventricles, interventricular septum and the linear tears may resemble the Emmantel cheese in Switzerland and so described as “Swiss-Cheese” ventricles. Two–dimensional transthoracic echocardiography is the modality of choice at bedside to detect the defects. 50 % of rupture occurs within 3 days and 89% within 2 weeks of infarction and carries high in-hospital mortality. When primary PCI was performed, its incidence was decreased to 2-3% and the prognosis was grave in patients presented with cardiogenic shock. Surgery is superior to conservative management and when multiple defects are present, endocardial patch repair to restore the geometry of myocardium has been performed, ideally between 2-3 weeks after the rupture when the edges of the defect got fibrosed.

Clause de non-responsabilité: Ce résumé a été traduit à l'aide d'outils d'intelligence artificielle et n'a pas encore été révisé ou vérifié.
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