Comparison of distinctive clinical and cardiac magnetic resonance features between ST elevation myocardial infarction patients with incomplete myocardial rupture and those with moderate to severe pericardial effusion

Abstract

IMR is generally silent and occurs in younger patients with smaller infarct size than those with PE although both present late and are often untreated with reperfusion therapy. These findings may warrant imaging assessment in ST elevation myocardial infarction patients with delayed admission, particularly in absence of reperfusion, to rule out an IMR.

New risk factors for early- and late-onset cardiac rupture in ST-elevation myocardial infarction patients after primary percutaneous coronary intervention

“…However, it has brought a new challenge-myocardial ischemia/reperfusion injury (IRI) leading to microvascular obstruction (MVO) and intramyocardial hemorrhage (IMH) [18] . Moreover, a recent study revealed that patients with impending CR had increased occurrence of IMH and MVO compared with controls [19] . Regarding risk factors for CR in the PCI era, it may be necessary to focus on IRI.…”

Conservative therapy for external myocardial rupture in a patient with anterior myocardial infarction: a case report

“…Наиболее информативные методы диагностики разрыва миокарда включают в себя левую вентрикулографию, трансторакальную ЭхоКГ [3]; компьютерную томографию [4]. В нашем случае наиболее доступным методом диагностики разрыва миокарда была ЭхоКГ, по данным которой был найден сам разрыв и обнаружено наличие гемоперикарда.…”

A triptych on acute cardiovascular care

“…A clinical study compared the clinical, angiographic and CMR characteristics of patients with AMI complicated by an incomplete myocardial rupture (IMR) or a moderate-severe pericardial effusion. 7 IMR is generally silent and occurs in younger patients with smaller infarct size than those with pericardial effusion. Both groups of patients present late and are often untreated with reperfusion therapy.…”