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