Therapeutic Considerations of Post-Myocardial Infarction Ventricular Septal Defect in the Elderly - An Educational Presentation.

Omar Julián Chavarro-Alfonso, Rene Ricardo Díaz, Efraín Alonso Gómez
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Abstract

Post-myocardial infarction ventricular septal defect is an infrequent complication associated with low survival rates in the absence of surgical management. An 80-year-old woman presents to the emergency department with an inferior wall ST-segment elevation myocardial infarction with complete occlusion of the right coronary artery and a rupture of the interventricular septum with rapid deterioration to cardiogenic shock. Advanced age, female sex, and cardiogenic shock are associated with high mortality. The use of intra-aortic balloon pump improves hemodynamic status, allowing stabilization in the preoperative period.

老年人心肌梗死后室间隔缺损的治疗考虑-一份教育报告。
心肌梗死后室间隔缺损是一种少见的并发症,在没有手术治疗的情况下生存率很低。一名80岁妇女,因右冠状动脉完全闭塞并室间隔破裂的下壁st段抬高型心肌梗死,迅速恶化为心源性休克而就诊于急诊科。高龄、女性和心源性休克与高死亡率相关。使用主动脉内球囊泵改善血流动力学状态,使术前稳定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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