Emergency Department Two-Dimensional Echocardiography in the Diagnosis of Nontraumatic Cardiac Rupture

See related editorial, "Emergency Ultrasound: Echoes of the Future." Myocardial rupture is a catastrophic complication of acute myocardial infarction that usually results in sudden death. If diagnosed quickly, patients with myocardial rupture may be salvaged. This report describes the appl...

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Veröffentlicht in:Annals of emergency medicine 1994-06, Vol.23 (6), p.1333-1342
Hauptverfasser: Plummer, David, Dick, Candace, Ruiz, Ernest, Clinton, Joe, Brunette, Doug
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container_end_page 1342
container_issue 6
container_start_page 1333
container_title Annals of emergency medicine
container_volume 23
creator Plummer, David
Dick, Candace
Ruiz, Ernest
Clinton, Joe
Brunette, Doug
description See related editorial, "Emergency Ultrasound: Echoes of the Future." Myocardial rupture is a catastrophic complication of acute myocardial infarction that usually results in sudden death. If diagnosed quickly, patients with myocardial rupture may be salvaged. This report describes the application of emergency department two-dimensional echocardiography in the diagnosis of six cases of myocardial rupture over two years. Each demonstrated a characteristic hemopericardium on limited single-window examination. These included four patients who met institutional guidelines for thrombolytic therapy. Three patients survived surgical repair, with two long-term survivors. [Plummer D, Dick C, Ruiz E, Clinton J, Brunette D: Emergency department two-dimensional echocardiography in the diagnosis of nontraumatic cardiac rupture. Ann Emerg Med June 1994;23:1333-1342.]
doi_str_mv 10.1016/S0196-0644(94)70361-2
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subjects Aged
Aged, 80 and over
Biological and medical sciences
Cardiology. Vascular system
Combined Modality Therapy
Coronary heart disease
Echocardiography - methods
Electrocardiography
Emergency Service, Hospital
Female
Fibrinolytic Agents - therapeutic use
Heart
Heart Rupture, Post-Infarction - diagnostic imaging
Heart Rupture, Post-Infarction - mortality
Heart Rupture, Post-Infarction - therapy
Humans
Male
Medical sciences
Middle Aged
Retrospective Studies
Risk Factors
Survival Rate
Time Factors
title Emergency Department Two-Dimensional Echocardiography in the Diagnosis of Nontraumatic Cardiac Rupture
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