Cardiac rupture during stress testing is uncommon and rarely reported, with less than ten cases described in the scientific literature. We present a patient with left ventricular free wall rupture one week after a nontransmural acute myocardial infarction (AMI), when undergoing conventional stress testing. A 70-year-old man, ex-smoker, with no other cardiovascular risk factors, was admitted in ...

後乳頭筋（PPM）壊死を疑う急性心筋梗塞（AMI）後の左室自由壁破裂（LVFWR）に対し，意図的に外科的修復術を遅延した症例を報告する．症例は胸背部痛を主訴に緊急搬送された67歳女性である．経胸壁心エコー検査（TTE）で心嚢液貯留とPPM頭部の可動性亢進と低輝度所見を認めPPM壊死が疑われた．冠動脈造影検査で回旋枝起始部閉塞を認めた．心臓脱転などの手術操作でのPPM断裂への進展が懸念され，Oozing型で呼吸循環動態破綻がないことからIABP（intra-aortic balloon pumping）管理を含む内科的治療とした．発症から7日目のTTEで心嚢液増加を認め，非縫合術式を行った．術後3日目にIABPを離脱し，12日目に自宅独歩退院となった．

INTRODUCTION Compared with anterior wall myocardial infarction, inferior wall myocardial infarction is generally regarded as being low risk. The aim of this study was to elucidate the clinical factors affecting its inhospital outcome. METHODS From January 1997 to March 2006, 546 consecutive patients who suffered from their first inferior wall myocardial infarction were recruited for the study...

fractions and congestive heart failure. Il-forming pathways in normal and failing human hearts Circ Res 1990; 66: 883-90. [3] Urata H, Boehm KD, Philip A et al. Cellular localization and regional distribution of an angiotensin Il-forming chymase in the heart. el al. Progression of left ventricular dysfunction during enalapril therapy: relationship with neuro-hormonal reac-tivation. Myocardial f...

Left ventricular pseudoaneurysm is a rare complication of myocardial infarction or cardiac trauma. We report a case of sudden death from rupture of such a lesion. Clinically, these lesions need to be distinguished from the other ventricular out-pouching lesions (true aneurysms and diverticula) because of their greater likelihood for rupture. Pathologically, apart from often being infarct-relate...

1 Dellborg M, Held P, Swedberg K, et al. Rupture of the myocardium: occurrence and risk factors. Br Heart J 1985; 54: 11-6. 2 Pohjola-Sintonen S, Muller JE, Stone PH, et al. Ventricular septal and free wall rupture complicating acute myocardial infarction: experience in the Multicenter Investigation of Limitation of Infarct Size. Am Heart 1989; 117: 809-18. 3 Catherwood E, Mintz GS, Kotler MN, ...

Left ventricular free wall rupture (LVFWR) is a serious complication of myocardial infarction. It presents with a very high mortality rate and can be rescued by accurate diagnosis and emergency surgery. LVFWR can occur with sudden overt clinical symptoms or present insidiously. This report highlights the case of a man with no prior history of coronary artery disease, who presented with LVFWR an...

background: diabetes mellitus is capable of impairing the myocardial function. several studies have documented the influential impact of diabetes mellitus on the left ventricular function. the right ventricular function plays a significant role in the overall myocardial contractility; hence, this study was undertaken to evaluate the effect of diabetes mellitus type ii on the right ventricular f...