North American Journal of Medical Sciences

CASE REPORT
Year
: 2013  |  Volume : 5  |  Issue : 10  |  Page : 620--622

Leaking heart: Ticking time bomb!


Punnaiah Marella1, Hassan Hussein2, Naveen Rajpurohit3, Rajeev Garg4 
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

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.


How to cite this article:
Marella P, Hussein H, Rajpurohit N, Garg R. Leaking heart: Ticking time bomb!.North Am J Med Sci 2013;5:620-622


How to cite this URL:
Marella P, Hussein H, Rajpurohit N, Garg R. Leaking heart: Ticking time bomb!. North Am J Med Sci [serial online] 2013 [cited 2022 Aug 19 ];5:620-622
Available from: https://www.najms.org/article.asp?issn=1947-2714;year=2013;volume=5;issue=10;spage=620;epage=622;aulast=Marella;type=0