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Current Medical Literature

JAMA. 1948;137(1):114-116. doi:10.1001/jama.1948.02890350116023.
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Rupture of Heart in Myocardial Infarction.¦Diaz-Rivera and Miller report that among 1,250 necropsies performed at the Louisville General Hospital during the five years from 1939 to 1944, a total of 147 cases presented myocardial infarction. Of these 94 were old infarcts and 53 were fresh infarcts. In recent infarction, 5 patients died from rupture of the heart. In 4, perforation of the left ventricle occurred, and in 1, rupture of the interventricular septum. Rupture of the interventricular septum was recognized ante mortem. Diagnosis was based on history of severe anginal pain, the sudden appearance of a systolic murmur which rapidly increased in intensity and electrocardiographic evidence of myocardial infarction and right axis deviation. In every instance of rupture of the left ventricle, antemortem clotting in the pericardial sac was observed. It is evident that in the majority of the patients death did not occur instantaneously with cardiac rupture.
J. Royal Inst. Public Health and Hygiene, London 10:382-415 ( (Dec.) ) 1947
Infantile Paralysis. H. J. Seddon.—p. 390.
Health Factor in Town Planning. A. Ling.—p. 396.


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