In this prospective study we evaluated the value of the main diagnostic criteria for postinfarction subacute @entity397 of the ventricular free wall. Two-dimensional echocardiograms and recordings of right atrial pressure and waveform were immediately obtained in every @entity1 exhibiting rapid clinical and/or hemodynamic compromise in the acute @entity1188 setting. The same protocol was applied to @entity1 referred from other hospitals for suspected @entity296 . In 28 cases a subacute free wall @entity397 was identified. In most of the @entity1 the diagnosis was based on the demonstration of @entity2294 and @entity2293 by echocardiography, cardiac catheterization and, occasionally, by pericardiocentesis. In 2 instances, the identification of intrapericardial echo densities suggesting clots, in the absence of @entity2293 , allowed a diagnosis of subacute @entity397 . Direct, but indistinct visualization of @entity296 was obtained in 4 cases. Among the 28 @entity1 with this complication, 4 died while awaiting surgery and 24 underwent surgical repair (mortality rate 33%). Long-term outcome of survivors was favorable. Various @entity296 underlie postinfarction subacute free wall @entity397 . Clinical presentation varied widely. The diagnosis was based, usually but not always, on the association of @entity2294 and signs of @entity2293 . An organized approach to management of this complication of @entity583 was suggested.

Diagnostic criteria and management of subacute ventricular free wall rupture complicating XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity296 :: ('MESH:D009202', 'Disease') :: ['myocardial rupture', 'myocardial lesions'] @entity2293 :: ('MESH:D002305', 'Disease') :: ['cardiac tamponade'] @entity2294 :: ('MESH:D010490', 'Disease') :: ['hemopericardium'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['infarction'] @entity583 :: ('MESH:D009203', 'Disease') :: ['acute myocardial infarction']
@entity583 :: (MESH:D009203,Disease) :: ['acute myocardial infarction']
