Prompt diagnosis of ST-elevation myocardial infarction with papillary muscle rupture by point-of-care ultrasound in the emergency department
Publication in refereed journal


引用次數
替代計量分析
.

其它資訊
摘要A previously healthy 61-year-old man presented to the emergency department with chest pain and dyspnoea for 6 hours. Examination revealed distress with an apical pansystolic murmur. Initial electrocardiogram showed sinus tachycardia and ST elevation in leads II, III, and aVF compatible with an inferior ST-elevation myocardial infarction. Point-of-care echocardiography in the emergency department showed a flail anterior mitral leaflet and severe mitral regurgitation, leading to a provisional diagnosis of papillary muscle rupture. Emergency cardiac catheterization showed 100%, 80%, and 70% occlusion of the middle right coronary, left anterior descending, and left circumflex arteries, respectively. An emergency triple vessel coronary artery bypass grafting and mitral valve replacement was performed. Posteromedial papillary muscle rupture resulting in mitral regurgitation was confirmed intraoperatively. The patient recovered uneventfully. In the absence of primary percutaneous coronary intervention, thrombolysis decisions should be made with extreme caution if mechanical complications of ST-elevation myocardial infarction are suspected.
著者Cheung KH, Graham CA
期刊名稱Clinical and Experimental Emergency Medicine
出版作品名稱CLINICAL AND EXPERIMENTAL EMERGENCY MEDICINE
詳細描述The Erratum to this article has been published in Clinical and Experimental Emergency Medicine 2017 4(4): 258-258 - "This corrects the article "Prompt diagnosis of ST-elevation myocardial infarction with papillary muscle rupture by point-of-care ultrasound in the emergency department" in volume 4 on page 178. In the published article, “Cheung KH, Alexander CG, Prompt diagnosis of ST-elevation myo cardial infarchion with papillary muscle rupture by point-of-care ultrsound in the emergency department. Clin Exp Emerg Med 2017;4(3):178-181. https://doi.org/10.15441/ceem.16.172,” the second author’s name has been incorrectly given. The name ‘Colin Graham Alexander / Alexander CG’ should be corrected as ‘Colin A Graham / Graham CA.’ The authors apologize for any inconvenience it may have caused."
出版年份2017
月份9
卷號4
期次3
出版社SEOUL KOREAN SOC EMERGENCY MEDICINE
頁次178 - 181
國際標準期刊號2383-4625
語言英式英語
Web of Science 學科類別Emergency Medicine;Emergency Medicine

上次更新時間 2020-23-11 於 01:46