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Correspondence
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Volume 348:2264 May 29, 2003 Number 22
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Cardiac Rupture

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 by Redfern, A.
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To the Editor: In their Image in Clinical Medicine, Redfern and Smart (Feb. 13 issue)1 describe a case of cardiac rupture in a man who initially presented with atypical chest pain and electrocardiographic signs of myocardial infarction. During subsequent diagnostic radiologic procedures, cardiac arrest developed, and the patient died.

Recognition of subacute free-wall rupture is a challenging clinical problem. Some patients with cardiac rupture succumb almost instantaneously, with rapid electromechanical dissociation; others have a subacute presentation, with a slow or repetitive clinical course. In these patients, who may survive for several hours to days, early recognition allows potentially lifesaving interventions . . . [Full Text of this Article]


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