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Emergency Medicine: Open Access

Emergency Medicine: Open Access
Open Access

ISSN: 2165-7548

+44 1223 790975

Abstract

Acute ST-Segment Elevation Myocardial Infarction Complicated by Partial Papillary Muscle Rupture

Priscilla Hoang, Samuel Unzek and Susan Wilansky

Acute Mitral Regurgitation (MR) after an acute Myocardial Infarction (MI) can be a catastrophic complication of acute MI and requires early recognition and emergent surgical intervention. The classic presentation is that of acute pulmonary edema and cardiogenic shock with recent history of MI. However, we present a case in which a patient presented with acute myocardial infarction and within a few hours, after percutaneous intervention, developed pulmonary edema and shock; reminding readers that this mechanical complication of MI can present at any time and may present with varying severity of symptoms. A high clinical suspicion should be maintained in order to recognize this serious complication and to expedite definitive surgical and life-saving treatment.

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