Correlation Between Respiratory Arrest And Left Ventricle Free Wall Rupture

Hasan KADI, Gültaç ÖZBAY, Birol ÖZKAN, Fatih ÖZÇELİK, Ayhan GÜRÇAĞAN, Armağan ALTUN, Turhan KÜRÜM,
*Filiz ÖZYILMAZ, *Latifi CANDA

Trakya Üniversitesi Tıp Fakültesi Kardiyoloji Anabilim Dalı
*Trakya Üniversitesi Tıp Fakültesi Patoloji Anabilim Dalı

Some of the patients with acute myocardial infarction (AMİ) have been lost as a consecuence of respiratory arrest (RA). We wanted to sugges the cause of RA by comparing the risk factors, clinical and pathologic-anatomical signs between two groups of patients. Group A consists of 9 patients with AMI, who died due to RA. Groııp B consists of 7 patients who had AMİ that evolved into heart failure and rardiogenic shock but not RA. All cases in Group A had transmural rupture of the left ventricle (LV) free wall and significant hemopericardium. Anterior AMI in the Group A were more frequent than in the Group B (P=0.054). Three cases in Group B sustained MI previous ly. There was thrombus or narrowing plaque in the CX in all cases with rupture.

C'ONCLUSION: LV free wall rupture is seen more frequently uncomplicated anterior AMİ and the cause of death is RA. We think that cause of RA is electromechanical dissociation. Risk fac tors, clinical and laboratory fîndings are not significant predictors for rupture before death.

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