Key result
Conservative management stabilizes a patient with early VSR complicating AMI post-thrombolysis.
Case Report (n=1)
No
Conservative management can be successful in select patients with acute myocardial infarction complicated by early ventricular septal rupture, even with minimal heart failure manifestations.
May support conservative management in select early VSR cases; leaves open need for prospective trials.
This article describes ventricular septal rupture in the acute phase of myocardial infarction after thrombolytic therapy. The peculiarity of this case is the lack of patient expressed pain and minimal manifestations of heart failure on the background specific to ventricular septal rupture ECG changes and echocardiographic data. To analyze the main factors giving the opportunity to assess the risk of this complication in patients with acute myocardial infarction. The clinical case demonstrates the success of the conservative management of patient with acute myocardial infarction complicated by early ventricular septal rupture.
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Сыволап et al. (2017) conducted a case report in Acute myocardial infarction with ventricular septal rupture (n=1). Conservative management was evaluated. Conservative management was successful in stabilizing a 66-year-old male patient with acute myocardial infarction complicated by early ventricular septal rupture following thrombolytic therapy.
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