Left ventricular free wall rupture after reperfusion therapy for acute myocardial infarction

被引:21
作者
Sugiura, T
Nagahama, Y
Nakamura, S
Kudo, Y
Yamasaki, F
Iwasaka, T
机构
[1] Kochi Med Sch, Dept Clin Lab Med, Nankoku, Kochi 7838505, Japan
[2] Kansai Med Univ, Dept Internal Med 2, Osaka, Japan
关键词
D O I
10.1016/S0002-9149(03)00625-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We evaluated the clinical significance of angiographic indexes and pericardial involvement in predicting increased risk of free wall rupture after reperfusion therapy and found that Thrombolysis In Myocardial Infarction (TIMI) <3 flow grade after reperfusion therapy was a significant variable related to the free wall rupture. Moreover, pericardial rub was found to be a significant variable related to TIMI <3 grade flow after reperfusion, which indicates that detection of pericardial rub is one of the clinical signs that predicts inadequate anterograde flow of the infarct-related artery after reperfusion and hence, higher risk for free wall rupture. (C)2003 by Excerpta Medica, Inc.
引用
收藏
页码:282 / 284
页数:3
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