Kerr F, Haywood L J
J Natl Med Assoc. 1978 May;70(5):325-30.
A review of eight cases of myocardial rupture following myocardial infarction confirmed the association of rupture with advanced age, a preponderance of females, hypertension, and physical exercise after infarction. In four patients, electrocardiograms recording the events of rupture showed further S-T elevation, supraventricular tachycardia, and conduction defects. One case of septal rupture showed increase in the amplitude of the P waves. The combination of these changes with sudden reappearance of chest pain, development or worsening of congestive cardiac failure with hypotension, and the appearance of a precordial systolic murmur should aid in the earlier diagnosis of this complication which may be amenable to surgery. Successful repair of rupture has been reported during the acute phase of infarction and after variable periods of delay.
对8例心肌梗死后心肌破裂病例的回顾证实，破裂与高龄、女性占多数、高血压以及梗死后体育锻炼有关。在4例患者中，记录破裂事件的心电图显示S-T段进一步抬高、室上性心动过速和传导缺陷。1例室间隔破裂病例显示P波振幅增加。这些变化与胸痛突然再次出现、充血性心力衰竭伴低血压的发生或加重以及心前区收缩期杂音的出现相结合，应有助于早期诊断这种可能适合手术治疗的并发症。据报道，在梗死急性期和不同延迟期后成功修复了破裂。
