



View larger version (251K):
[in this window]
[in a new window]
|
Figure 1. Examination of a 48-year-old man with a two-hour history of chest pain and dyspnea revealed him to be acutely ill, with tachypnea, a blood pressure of 100/60 mm Hg, a pulse rate of 117 beats per minute, and severe pulmonary edema, necessitating intubation and mechanical ventilation. The electrocardiogram (Panel A) revealed sinus tachycardia, left atrial and ventricular enlargement, and ST-segment depression in leads I, II, III, aVF, V3, V4, V5, and V6. Transthoracic echocardiography showed complete rupture of the anterolateral papillary muscle (arrow in Panel B), prolapse of the muscle into the left . . . [Full Text of this Article] |