AI Article Synopsis
- Pulseless electrical activity (PEA) can occur after a heart attack, commonly due to ventricular wall rupture.
- A 76-year-old woman experienced PEA five days post a heart attack, revealing massive mitral regurgitation caused by the rupture of the posterior papillary muscle.
- This case highlights the importance of investigating alternative treatable causes, beyond cardiac tamponade, in patients with PEA following a myocardial infarction.*
Article Abstract
Pulseless electrical activity (PEA) after acute myocardial infarction is classically caused by ventricular free wall rupture. We report the case of a 76-year-old woman who presented a cardiac arrest with PEA 5 days after an embolic acute myocardial infarction. Transthoracic echocardiogram showed a massive mitral regurgitation due to posterior papillary muscle rupture. This case demonstrates that other causes potentially treatable than cardiac tamponade must be sought in patients with PEA after myocardial infarction.
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| http://dx.doi.org/10.1016/j.ajem.2012.04.024 | DOI Listing |
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