Characteristics and Outcomes of Cardiac Rupture in Patients With ST-Segment Elevation Myocardial Infarction.

ABSTRACT:

Background

Cardiac rupture (CR), encompassing both free wall and ventricular septal ruptures, is a serious complication of ST-segment elevation myocardial infarction (STEMI). In this study, we aimed to investigate the incidence, characteristics, and clinical outcomes of CR in patients with STEMI.

Methods and results

The Japan Acute Myocardial Infarction Registry (JAMIR) is a multicenter prospective study. Of the 3,411 patients hospitalized with acute MI between 2015 and 2017, data from 2,626 patients with STEMI (612 women [23.3%]; median age, 68 years) were analyzed. CR occurred in 34 patients (1.3%), comprising free wall rupture in 25 cases (73.5%), ventricular septal rupture in 8 cases (23.5%), and both in 1 case (2.9%). Compared to those without CR, the cumulative inciden

SUBMITTER: Nishihira K 

PROVIDER: S-EPMC12688428 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature