Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Visit old site
Home Print this page Email this page Small font size Default font size Increase font size
Users Online: 160
CASE REPORT
Year : 2013  |  Volume : 5  |  Issue : 10  |  Page : 620-622

Leaking heart: Ticking time bomb!


1 Department of Internal Medicine, Banner Estrella Medical Center, Phoenix, AZ, USA
2 Department of Internal Medicine, West Valley Medical Center, Goodyear, AZ, USA
3 Department of Cardiology, Sanford Health, Sioux Falls, South Dakota, USA
4 Department of Cardiology, Banner Estrella Medical Center, Phoenix, AZ, USA

Correspondence Address:
Punnaiah Marella
Department of Internal Medicine, Banner Estrella Medical Center 9201 W Thomas Road, Phoenix, Arizona - 85037
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1947-2714.120802

Rights and Permissions

Context: Cardiac rupture is a very important but under-recognized complication of acute myocardial infarction and usually happens within a week of the event. Sometimes it can be subacute and may not be typical of an acute blow out rupture. Hence careful evaluation is needed as a missed or delayed diagnosis can be fatal. An emergent echocardiogram may aid in immediate diagnosis. Surgery is the only treatment option and is mandatory despite the high mortality risk. Case Report: An elderly male presented with dizziness and hypotension. Based on the timeline of his symptomatology, electrocardiographic abnormalities and labs, a subacute cardiac rupture was suspected in the emergency room itself. A high index of suspicion is needed to diagnose cardiac rupture. Conclusion: Subacute cases can be missed easily as presentation may not be dramatic. They can rapidly progress to a blowout rupture increasing mortality risk heavily even with surgical treatment.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1305    
    Printed52    
    Emailed1    
    PDF Downloaded186    
    Comments [Add]    
    Cited by others 2    

Recommend this journal