Author/Editor | Žuran, Ivan; Voga, Gorazd; Krivec, Bojan; Skale, Rafael; Parežnik, Roman; Podbregar, Matej; Kralj, Eduard; Zatler, Simona | |
Title | Ruptura srca po akutnem miokardnem infarktu: vpliv drenaže perikarda z negativnim tlakom na potek tamponade srca (prikaz štirih primerov) | |
Translated title | Left ventricular rupture following acute myocardial infarction: influence of pericardial sac drainage with negative pressure on the course of cardiac tamponade | |
Type | članek | |
Source | Zdrav Vestn | |
Vol. and No. | Letnik 66, št. 7-8 | |
Publication year | 1997 | |
Volume | str. 365-70 | |
Language | slo | |
Abstract | Authors describe four patients with myocardial rupture after acute myocardial infarction who were treated by pericardiocentesis and pericardial sac drainage with negative pressure. Spontaneous healing resulted in two cases with subacute rupture, while in patients with the acute rupture the depicted therapeutic procedure provided the means for hemostasis and hemodynamical improvement within 5 to 30 minutes. Authors discusss the procedure, hypothesised effect and its possible value in such circumstances. | |
Summary | Avtorji opisujejo štiri primere bolnikov z rupturo srca po akutnem miokardnem infarktu, ki so jih zdravili s perikardiocentezo in drenažo perikarda z negativnim tlakom. V dveh primerih subakutne rupture je prišlo do spontanega zaceljenja, pri preostalih dveh bolnikih z akutno rupturo pa so s tem terapevtskim pristopom dosegli zaustavitev krvavitve in hemodinamsko izboljšanje, ki je trajalo od nekaj minut do pol ure. Avtorji razpravljajo o možnem mehanizmu učinka tega postopka in njegovi vlogi pri obravnavanju takih stanj. | |
Descriptors | MYOCARDIAL INFARCTION HEART RUPTURE PERICARDIUM DRAINAGE ACUTE DISEASE ELECTROCARDIOGRAPHY ECHOCARDIOGRAPHY |