PMID- 25940134 OWN - NLM STAT- MEDLINE DCOM- 20160412 LR - 20151217 IS - 1532-8171 (Electronic) IS - 0735-6757 (Linking) VI - 34 IP - 1 DP - 2016 Jan TI - Early left ventricular free-wall rupture in non-STEMI never to be neglected. PG - 113.e3-4 LID - S0735-6757(15)00305-8 [pii] LID - 10.1016/j.ajem.2015.04.038 [doi] AB - As the most dramatic and fatal complication, left ventricular free-wall rupture (LVFWR) used to present in approximately 3% of patients with acute myocardial infarction. After the introduction of primary percutaneous coronary intervention, the incidence of LVFWR decreased but remained approximately 1.7%. Left ventricular free-wall rupture occurs in patients with transmural myocardial infarction, which is almost exclusively ST elevation myocardial infarction (STEMI). This condition carries a high mortality as a result of hemopericardium and cardiac tamponade. Left ventricular free-wall rupture rarely occurs in patients with non-ST-elevation myocardial infarction, but the risk of it cannot be ignored. This case describes early development LVFWR after non-ST-elevation myocardial infarction to evoke high vigilance of clinicians to this condition. FAU - Yeh, Yen-Ting AU - Yeh YT AD - Cardiology Division of Cardiovascular Medical Center, Far Eastern Memorial Hospital, New Taipei City, Taiwan. FAU - Huang, Chun-Yang AU - Huang CY AD - Cardiovascular Surgery Division of Cardiovascular Medical Center, Far Eastern Memorial Hospital, New Taipei City, Taiwan. Electronic address: petere620@yahoo.com.tw. LA - eng PT - Case Reports PT - Journal Article DEP - 20150424 PL - United States TA - Am J Emerg Med JT - The American journal of emergency medicine JID - 8309942 SB - IM MH - Aged MH - Diagnosis, Differential MH - Diagnostic Imaging MH - Electrocardiography MH - Fatal Outcome MH - Heart Rupture/*diagnosis/*surgery MH - Humans MH - Male MH - Thoracotomy EDAT- 2015/05/06 06:00 MHDA- 2016/04/14 06:00 CRDT- 2015/05/06 06:00 PHST- 2015/03/23 00:00 [received] PHST- 2015/04/20 00:00 [revised] PHST- 2015/04/22 00:00 [accepted] PHST- 2015/05/06 06:00 [entrez] PHST- 2015/05/06 06:00 [pubmed] PHST- 2016/04/14 06:00 [medline] AID - S0735-6757(15)00305-8 [pii] AID - 10.1016/j.ajem.2015.04.038 [doi] PST - ppublish SO - Am J Emerg Med. 2016 Jan;34(1):113.e3-4. doi: 10.1016/j.ajem.2015.04.038. Epub 2015 Apr 24.