González-Rosas IA, Hernández-Santamaría I, Vázquez-Martínez de Velasco A, Pérez-Salgado H, López-Gómez LM, García-Aguilar BS, Cortés-Gutiérrez ME, Uruchurtu-Chavarín ES, García-Mayen LF

Language: Spanish
References: 6
Page: 36-42
PDF size: 336.61 Kb.

ABSTRACT

In patients with acute coronary ischemic syndrome, two-thirds of cases die without reaching hospital care (mainly in the first two hours) due to sudden death. Of the remaining third, 50% will do so within 24 hours of hospital admission, mainly due to mechanical complications of infarction. Currently, the identification and early stratification, the role of coronary care units and early reperfusion (pharmacologic or mechanical) where indicated, have been shown to decrease morbidity and mortality from ischemic heart disease. Within the mechanical complications of infarction, ventricular free wall rupture occurs in 5-10% of hospitalized patients dying of acute myocardial infarction with ST segment elevation. We report a case with these features.

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