- Meeting abstract
- Published:
Severe acute mitral regurgitation complicating acute myocardial infarction: case for aggressive therapy
Critical Care volume 7, Article number: P054 (2003)
Introduction
The mortality of patients with cardiogenic shock (CS) following acute myocardial infarction (AMI) remains high, despite modern reperfusion strategies. The progressive hemodynamic deterioration in patients with AMI is usually caused by left ventricular systolic dysfunction as a consequence of necrosis or ischaemia. The special subset of CS patients comprises patients with mechanical complications, mainly the severe acute mitral regurgitation (SAMR), ventricular septal and free wall rupture (8%, 6% and 2.7%, respectively, of all CS patients).
Methods
Prospective observation of six consecutive patients with SAMR September 2001-October 2002.
Results
See Table 1.
Conclusion
Initial aggressive organ support and stabilization followed by mitral valve replacement can offer the patients with SAMR good long-term prognosis.
References
Qiang C, et al.: Mitral valve surgery for acute papillary muscle rupture following myocardial infarction. J Heart Valve Dis 2002, 11: 27-31.
Yehezkiel K, et al.: Mitral valve operation in postinfarction rupture of a papillary muscle: immediate results and long-term follow up of 22 patients. Mayo Clin Proc 1992, 67: 1023-1030.
Tavakoli R, et al.: Surgical management of acute mitral valve regurgitation due to post-infarction papillary muscle rupture. J Heart Valve Dis 2002, 11: 22-26.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Belohlavek, J., Skulec, R., Kovarnik, T. et al. Severe acute mitral regurgitation complicating acute myocardial infarction: case for aggressive therapy. Crit Care 7 (Suppl 2), P054 (2003). https://doi.org/10.1186/cc1943
Published:
DOI: https://doi.org/10.1186/cc1943