Kim Munk

Ventricular septal rupture complicating acute myocardial infarction: clinical characteristics and contemporary outcome.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

  • The Department of Thoracic and Cardiovascular Surgery T
  • The Department of Cardiological Medicine B
  • The Department of Internal Medicine and Cardiology A
BACKGROUND: The objective of this paper was to study the patient characteristics and contemporary short- and long-term outcome in patients with postinfarct ventricular septal rupture. METHODS: Based on patient files and register data we performed a review of 64 consecutive patients with ventricular septal rupture complicating acute myocardial infarction, admitted to our tertiary center. RESULTS: The mean age of the patients was 70 +/- 7. The median time was five days from onset of symptoms to the diagnosis of the ventricular septal rupture. The overall 30-day, one-, and five- year mortalities were 62%, 72%, and 95%, respectively. Medical treated patients (n = 19) had a 30-day mortality of 100%. Among surgically treated patients (n = 45) the survival at one month, one and five years was 71%, 48%, and 32%, respectively. History of hypertension, complicating congestive heart failure, and age were associated with poor outcome. CONCLUSIONS: Despite improvements in medical and interventional techniques the early as well as the long-term prognosis remains poor in this contemporary series.
Original languageEnglish
JournalAnnals of Thoracic Surgery
Volume85
Issue5
Pages (from-to)1591-6
Number of pages5
ISSN0003-4975
DOIs
Publication statusPublished - 2008

    Research areas

  • Aged, Aged, 80 and over, Cause of Death, Coronary Angiography, Echocardiography, Female, Heart Rupture, Post-Infarction, Heart Septal Defects, Ventricular, Heart Septum, Humans, Male, Middle Aged, Postoperative Complications, Retrospective Studies, Survival Rate

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