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Acute Complications of Myocardial Infarction in the Current Era
  1. Anurag Bajaj, MD, FACP*,
  2. Ankur Sethi, MD, FACP,
  3. Parul Rathor, MBBS,
  4. Nissi Suppogu, MD*,
  5. Arjinder Sethi, MD, FACP§
  1. From the *Department of Medicine, The Wright Center for Graduate Medical Education, Scranton, PA; †Department of Cardiology, Rosalind Franklin University of Medicine and Science, Chicago, IL; ‡Department of Medicine, Zhengzhou University, Henan, China; and §Department of cardiology, Medical Associates of Monroe County, Stroudsburg, PA.
  1. Received March 12, 2015, and in revised form April 17, 2015.
  2. Accepted for publication July 17, 2015.
  3. Reprints: Anurag Bajaj, MD, FACP, Department of Medicine, The Wright Center for Graduate Medical Education, 707 Tall Trees Dr, Scranton, PA. E-mail: dr.anuragbajaj{at}gmail.com.
  4. The study was performed at The Wright Center for Graduate Medical Education, 501 Madison Ave, Scranton, PA 18505.
  5. Conflict of interest: No conflict of interest.

Diagnosis and Management

Abstract

Coronary heart disease is a major cause of mortality and morbidity worldwide. The incidence of mechanical complications of acute myocardial infarction (AMI) has gone down to less than 1% since the advent of percutaneous coronary intervention, but although mortality resulting from AMI has gone down in recent years, the burden remains high. Mechanical complications of AMI include cardiogenic shock, free wall rupture, ventricular septal rupture, acute mitral regurgitation, and right ventricular infarction. Detailed knowledge of the complications and their risk factors can help clinicians in making an early diagnosis. Prompt diagnosis with appropriate medical therapy and timely surgical intervention are necessary for favorable outcomes.

Key Words
  • myocardial infarction
  • percutaneous coronary intervention
  • thrombolytic

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