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  • Title: [Heart wall rupture as a grave complication of acute myocardial infarct].
    Author: Thiele R, Kunze I, Waldmann G.
    Journal: Z Gesamte Inn Med; 1990 Jul 01; 45(13):385-9. PubMed ID: 2238750.
    Abstract:
    The rupture of the heart wall is a severe complication of the acute myocardial infarction. We found it in 3.5% of the deceased patients with an acute myocardial infarction. The average age of these patients was 71 years. 75% of the patients died during the first five days after the event of the myocardial infarction. Apart from elderly patients with myocardial infarction such ones with a transmural myocardial infarction in the region of the left ventricle, an enlargement of the heart and signs of an insufficiency of the left heart, with a hypertension and diabetes mellitus seemed to be endangered. These patients need the most exact control and observation and in case of suspicion (symptomatology of angina pectoris which is continuing to exist) of a developing rupture of the heart wall and aimed diagnostics (echocardiography) and therapy must be begun immediately.
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