Left ventricular free wall rupture after reperfusion therapy for acute myocardial infarction |
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| Authors: | Sugiura Tetsuro Nagahama Yo Nakamura Seishi Kudo Yoshihiro Yamasaki Fumiyasu Iwasaka Toshiji |
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| Institution: | Department of Clinical Laboratory Medicine, Kochi Medical School, Kochi, Japan. sugiurat@med.kochi-ms.ac.jp |
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| Abstract: | 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. |
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