BACKGROUND The incidence of acute myocardial infarction(AMI)is rising,with cardiac rupture accounting for approximately 2%of deaths in patients with acute ST-segment elevation myocardial infarction(STEMI).Ventricular ...BACKGROUND The incidence of acute myocardial infarction(AMI)is rising,with cardiac rupture accounting for approximately 2%of deaths in patients with acute ST-segment elevation myocardial infarction(STEMI).Ventricular free wall rupture(FWR)occurs in approximately 2%of AMI patients and is notably rare in patients with non-STEMI.Types of cardiac rupture include left ventricular FWR,ventricular septal rupture,and papillary muscle rupture.The FWR usually leads to acute cardiac tamponade or electromechanical dissociation,where standard resuscitation efforts may not be effective.Ventricular septal rupture and papillary muscle rupture often result in refractory heart failure,with mortality rates over 50%,even with surgical or percutaneous repair options.CASE SUMMARY We present a rare case of an acute non-STEMI patient who suffered sudden FWR causing cardiac tamponade and loss of consciousness immediate before undergoing coronary angiography.Prompt resuscitation and emergency open-heart repair along with coronary artery bypass grafting resulted in successful patient recovery.CONCLUSION This case emphasizes the risks of AMI complications,shares a successful treatment scenario,and discusses measures to prevent such complications.展开更多
子宫肌瘤是育龄期女性常见多发疾病,腹腔镜子宫肌瘤剔除术是目前临床最常用的治疗方法。子宫肌瘤剔除术后妊娠期子宫破裂(uterine rupture during pregnancy,URDP)是最严重的远期并发症,可能会造成灾难性的后果,必须引起临床医生的足够...子宫肌瘤是育龄期女性常见多发疾病,腹腔镜子宫肌瘤剔除术是目前临床最常用的治疗方法。子宫肌瘤剔除术后妊娠期子宫破裂(uterine rupture during pregnancy,URDP)是最严重的远期并发症,可能会造成灾难性的后果,必须引起临床医生的足够重视。本文对腹腔镜子宫肌瘤剔除术后URDP的预后因素进行文献总结,为妇科医生手术提供临床依据,提高手术技巧,将URDP的风险降到最低。展开更多
文摘BACKGROUND The incidence of acute myocardial infarction(AMI)is rising,with cardiac rupture accounting for approximately 2%of deaths in patients with acute ST-segment elevation myocardial infarction(STEMI).Ventricular free wall rupture(FWR)occurs in approximately 2%of AMI patients and is notably rare in patients with non-STEMI.Types of cardiac rupture include left ventricular FWR,ventricular septal rupture,and papillary muscle rupture.The FWR usually leads to acute cardiac tamponade or electromechanical dissociation,where standard resuscitation efforts may not be effective.Ventricular septal rupture and papillary muscle rupture often result in refractory heart failure,with mortality rates over 50%,even with surgical or percutaneous repair options.CASE SUMMARY We present a rare case of an acute non-STEMI patient who suffered sudden FWR causing cardiac tamponade and loss of consciousness immediate before undergoing coronary angiography.Prompt resuscitation and emergency open-heart repair along with coronary artery bypass grafting resulted in successful patient recovery.CONCLUSION This case emphasizes the risks of AMI complications,shares a successful treatment scenario,and discusses measures to prevent such complications.
文摘子宫肌瘤是育龄期女性常见多发疾病,腹腔镜子宫肌瘤剔除术是目前临床最常用的治疗方法。子宫肌瘤剔除术后妊娠期子宫破裂(uterine rupture during pregnancy,URDP)是最严重的远期并发症,可能会造成灾难性的后果,必须引起临床医生的足够重视。本文对腹腔镜子宫肌瘤剔除术后URDP的预后因素进行文献总结,为妇科医生手术提供临床依据,提高手术技巧,将URDP的风险降到最低。
