Does the increasing use of reperfusion strategies and adjunct medical therapy reduce the incidence and hospital mortality of cardiac rupture in patients with acute ST-elevation myocardial infarction?
The incidence and hospital mortality of cardiac rupture complicating STEMI have declined over a 30-year period, likely driven by advances in reperfusion and medical therapies.
The decline in the incidence in cardiac rupture and its rate of death over the last 30 years appears to be associated with the increasing use of reperfusion strategies and adjunct medical therapy.
Figueras et al. (Mon,) studied this question.