Cardiac free wall rupture in acute myocardial infarction: Ameliorative effect of coronary reperfusion

F. Nakamura, T. Minamino, Y. Higashino, H. Ito, K. Fujii, T. Fujita, Hiroshi Itoh, J. Higaki, T. Ogihara

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

To investigate the pathophysiology of cardiac free wall rupture (cardiac rupture) following acute myocardial infarction (AMI), and to clarify whether reperfusion therapy prevents cardiac rupture, 1,329 cases of AMI (conventional therapy group: 807 cases and reperfusion therapy group: 533 cases) were studied retrospectively. The overall incidence of cardiac rupture was 2.3% (2.7% in the conventional therapy group vs. 1.7% in the reperfusion therapy group). Patients with cardiac rupture were divided into two subgroups according to the time interval from the onset of AMI to cardiac rupture (early rupture ≤72 h and late rupture ≥4 days). The indices of initial evolution of AMI was a significant risk of early cardiac rupture. The reperfusion therapy group showed significantly lower incidence of late rupture (0.4 vs. 1.5% in conventional therapy group; p

Original languageEnglish
Pages (from-to)244-250
Number of pages7
JournalClinical Cardiology
Volume15
Issue number4
Publication statusPublished - 1992
Externally publishedYes

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Heart Rupture
Myocardial Reperfusion
Group Psychotherapy
Myocardial Infarction
Reperfusion
Rupture
Incidence

Keywords

  • acute myocardial infarction
  • cardiac rupture
  • reperfusion therapy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Nakamura, F., Minamino, T., Higashino, Y., Ito, H., Fujii, K., Fujita, T., ... Ogihara, T. (1992). Cardiac free wall rupture in acute myocardial infarction: Ameliorative effect of coronary reperfusion. Clinical Cardiology, 15(4), 244-250.

Cardiac free wall rupture in acute myocardial infarction : Ameliorative effect of coronary reperfusion. / Nakamura, F.; Minamino, T.; Higashino, Y.; Ito, H.; Fujii, K.; Fujita, T.; Itoh, Hiroshi; Higaki, J.; Ogihara, T.

In: Clinical Cardiology, Vol. 15, No. 4, 1992, p. 244-250.

Research output: Contribution to journalArticle

Nakamura, F, Minamino, T, Higashino, Y, Ito, H, Fujii, K, Fujita, T, Itoh, H, Higaki, J & Ogihara, T 1992, 'Cardiac free wall rupture in acute myocardial infarction: Ameliorative effect of coronary reperfusion', Clinical Cardiology, vol. 15, no. 4, pp. 244-250.
Nakamura F, Minamino T, Higashino Y, Ito H, Fujii K, Fujita T et al. Cardiac free wall rupture in acute myocardial infarction: Ameliorative effect of coronary reperfusion. Clinical Cardiology. 1992;15(4):244-250.
Nakamura, F. ; Minamino, T. ; Higashino, Y. ; Ito, H. ; Fujii, K. ; Fujita, T. ; Itoh, Hiroshi ; Higaki, J. ; Ogihara, T. / Cardiac free wall rupture in acute myocardial infarction : Ameliorative effect of coronary reperfusion. In: Clinical Cardiology. 1992 ; Vol. 15, No. 4. pp. 244-250.
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