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Subclinical myocardial infarction presenting as free wall rupture
Authors:M R de Groot  J M van Dantzig  L Sanders  Th W O Elenbaas
Institution:1. www.bsl.nl/shop/
Abstract:A 50-year-old man presented twice within a period of two weeks with symptoms and electrocardio-graphic (ECG) findings suggesting postinfarct angina. The ECG showed sinus tachycardia with Q waves, ST-segment elevation and terminally negative T waves in lead II, III and aVF, suggesting remote inferior myocardial infarction. During the first hospitalisation the ECG also showed signs of pericarditis. Troponin I levels were only slightly elevated. Echocardiographic evaluation at the second presentation demonstrated a posterolateral false aneurysm following ischaemic left ventricular rupture (figure 1).
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