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Acute Dyspnea After Inferior-Wall Myocardial Infarction.

Abstract
A 57-year-old woman presented with acute-onset dyspea with a duration of more than 2 days. Four days earlier, she had been thrombolyzed with streptokinase for inferior wall myocardial infarction in a nearby hospital. On examination, we found that the patient had elevated jugular venous pressure and systolic murmur in left lower parasternal region. In addition, there was a ventricular septal rupture in the posterobasal interventricular septum, with at least 2 exit points into the right ventricle. Timely identification of ventricular septal rupture before PCI is of paramount importance, as it has major implications in management of the patient.
AuthorsA Shaheer Ahmed, Nitish Rai, Gauravkumar Divani
JournalThe Journal of invasive cardiology (J Invasive Cardiol) Vol. 33 Issue 10 Pg. E834 (Oct 2021) ISSN: 1557-2501 [Electronic] United States
PMID34609329 (Publication Type: Case Reports, Journal Article)
Topics
  • Dyspnea (diagnosis, etiology)
  • Female
  • Heart Ventricles (diagnostic imaging)
  • Humans
  • Inferior Wall Myocardial Infarction (complications, diagnosis)
  • Middle Aged
  • Percutaneous Coronary Intervention
  • Ventricular Septal Rupture

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