01-10-2008 | imaging in cardiology
Subclinical myocardial infarction presenting as free wall rupture
Gepubliceerd in: Netherlands Heart Journal | Uitgave 10/2008
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A 50-year-old man presented twice within a period of two weeks with symptoms and electrocardio-graphic (ECG) findings suggesting postinfarct angina. The ECG showed sinus tachycardia with Q waves, ST-segment elevation and terminally negative T waves in lead II, III and aVF, suggesting remote inferior myocardial infarction. During the first hospitalisation the ECG also showed signs of pericarditis. Troponin I levels were only slightly elevated. Echocardiographic evaluation at the second presentation demonstrated a posterolateral false aneurysm following ischaemic left ventricular rupture (figure 1).