Why the study?
LV free wall ruptures are fatal complications of acute MI that are rarely reported in the setting of a non- or subtle-ST-elevation MI.
Left ventricular free wall rupture can occur even in the setting of subtle-ST-elevation myocardial infarction, requiring high clinical suspicion and prompt imaging for diagnosis and surgical rescue.
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High suspicion for LVFWR remains essential even after subtle-STEMI; leaves open the diagnostic role of contrast CT in elderly patients.
Nakahara et al. (2022) studied this question.
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