Rare but unforgettable cause of hypotension

First invasive pressure tracing was showed in figure 2. A weakened necrotic surrounding myocardium is a weak anchoring site for sutures in surgical repair; consequently, the outcome is poor with mortality rates in the order of 20%–75%.2 3 In this case, the patient was initially stabilised with aggressive colloidal solution infusion and emergent pericardiocentesis and soon after transferred to the operating room. Changes in hospital mortality rates in 425 patients with acute ST-elevation myocardial infarction and cardiac rupture over a 30-year period.