Ventricular free wall rupture
Posted by dkwinter

See also: Sequelae of MI

 

Hx
     Most commonly presents 3-7 days post-MI
     The majority of cases occur after anterior wall MI
Sx
     Acute decompensation
     Rapid-onset pulseless electrical activity as a result of pericardial tamponade
     Tachycardia
Pathophysiology
     Post-transmural infact, necrotic cardiac muscle may rupture, leading to rapid pericardial tamponade
Tx
     Rapid pericardiocentesis