Post-infarction XXXX : risk factors and early outcomes.

@entity1 @entity101 @entity1757 @entity397 @entity583
INTRODUCTION: Rupture of the ventricular septum complicates @entity583 in 0.2% of cases in the thrombolytic era. @entity1757 ( @entity1757 ) has a mortality of 90-95% in medically managed and 19-60% in surgically treated @entity1 . METHODS: A retrospective analysis was performed of 41 @entity1 , 26 females (63.4%) and 15 males (36.6%), average age 67.5    15 years, with post-infarction @entity1757 who were treated in the VUL SK intensive cardiology unit between 1991 and 2007. RESULTS: Thirty-seven @entity1 had @entity101 (90.2%); anterior wall @entity583 ( @entity583 ) was found in 27 @entity1 (68%). @entity1757 was more frequent in @entity1 than in @entity1 (p=0.043). In 36 @entity1 (87%) treatment was started 24 hours or later after the development of @entity583 symptoms. In 34 @entity1 (83%) the @entity397 occurred during the first episode of @entity583 and in the majority of these (19 @entity1 , 46.3%), preoperative coronary angiography demonstrated disease of only one coronary artery. During the first 10 days after the onset of @entity583 , 5 @entity1 (12.2%) were treated surgically but did not survive the operation; 33 @entity1 (80.5%) underwent operation 3-4 weeks after the onset of @entity583 and all survived. CONCLUSIONS: Female sex, advanced age, arterial @entity101 , anterior wall @entity583 , absence of previous @entity583 , and late arrival at hospital are associated with a higher risk of mortality from acute @entity1757 . The most important factor that determines operative mortality and intra-hospital survival is the time from the onset of @entity583 to operation.
