Mathew Antony, Berry Eleanor, Tirou Malini, Kumar Pankaj
Emergency Department, Withybush General Hospital, Haverfordwest, Pembrokeshire, UK
Emergency Department, Withybush General Hospital, Haverfordwest, Pembrokeshire, UK.
BMJ Case Rep. 2020 Feb 19;13(2):e231867. doi: 10.1136/bcr-2019-231867.
Myocardial infarction (MI) is a relatively common medical condition in the community. A rare complication of acute MI is left ventricular rupture (LV) rupture. This usually follows a transmural infarct. The incidence of this is 2%-4% and this usually happens within 3-7 days of MI. The anterolateral wall is involved in the majority of cases. Atypical presentations can occur several weeks after the initial event. Symptoms may mimic gastrointestinal disorder. The prognosis of this condition is very grim. However, with appropriate treatment, they can make an excellent recovery. The definitive treatment for this is surgical repair. We present the case of a 70-year-old man who had LV rupture and his clinical journey.
心肌梗死（MI）在社区中是一种相对常见的病症。急性心肌梗死的一种罕见并发症是左心室破裂（LV破裂）。这通常继发于透壁性梗死。其发生率为2% - 4%，通常发生在心肌梗死后3 - 7天内。大多数病例累及前侧壁。非典型表现可在初始事件数周后出现。症状可能类似胃肠道疾病。这种情况的预后非常严峻。然而，通过适当治疗，患者可实现良好恢复。对此的确定性治疗是手术修复。我们呈现一位70岁男性发生左心室破裂的病例及其临床过程。
