Key result
2D and color flow Doppler echo diagnoses fatal LV free wall rupture following acute MI.
Why the study?
Left ventricular free wall rupture accounts for approximately 15% of deaths following acute myocardial infarction and requires prompt diagnosis.
Demonstrates the utility of 2D and colour flow Doppler echocardiography in the rapid diagnosis of left ventricular free wall rupture, a highly fatal complication of acute myocardial infarction.
Echocardiography may enable rapid post-MI LV rupture diagnosis; single case report leaves open prospective validation before wider adoption.
Left ventricular free wall rupture is thought to account for approximately 15% of deaths following acute myocardial infarction (MI). We present a case of left ventricular free wall rupture in a 64-year-old man following a lateral MI. The diagnosis was made with 2D and colour flow Doppler echocardiography. Unfortunately the patient died before emergency surgery could be performed.
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Rinaldi et al. (2001) studied this question. 2D and colour flow Doppler echocardiography diagnosed a fatal left ventricular free wall rupture, which accounts for approximately 15% of deaths following acute myocardial infarction.
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