Skip to main content
SpringerLink
Log in

Electrocardiographic changes produced by septal rupture after acute myocardial infarction

  • Published:
Irish Journal of Medical Science Aims and scope Submit manuscript

Summary

Electrocardiographic changes produced by septal rupture following acute myocardial infarction in 4 patients are described. All 4 patients had anterior wall myocardial infarction and in 1 there was lateral extension. The electrocardiographic changes at the time of septal rupture included marked rise in ST segment and supraventricular tachyarrhythmias. P wave configuration changes, which suggested ventricular overload were present in all patients. The mean frontal QRS axis shift occurred in all patients between 1 to 35 days from the onset of septal rupture. Mean QRS axis shift occurring early was associated with poor prognosis. There was no correlation between the sum of ST segment elevation in the standard six precredial leads (Σ ST0) and the size of the shunt or the defect.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Collis, J. L., Mackinnon, J., Raison, J. C. A. and Whittaker, S. R. F. 1962. Repair of acquired interventricular septal defect following myocardial infarction. Lancet ii, 172.

    Article  Google Scholar 

  • Dejoseph, R. L., Linder, A., Seidis, S. F. and Damato, A. N. 1975. Echocardiographic findings of ventricular septal rupture in acute myocardial infarction. Am. J. Cardiol. 36, 346.

    Article  PubMed  CAS  Google Scholar 

  • Essen, R. V., Merx, W. and Effert, S. 1979. Spontaneous course of ST segment elevation in acute myocardial infarction. Circulation 59, 105.

    PubMed  CAS  Google Scholar 

  • Friedberg, C. K. 1966. Diseases of the Heart, 3rd ed., p. 955. W. B. Saunders Co., Philadelphia.

    Google Scholar 

  • Friedman, H. A., Kuhn, L. A. and Katz, M. A. 1971. Cinical and Electrocardiographic features of cardiac rupture following acute myocardial infarction. Am. J. Med. 50, 709.

    Article  PubMed  CAS  Google Scholar 

  • HeiKKilä, J., Karesoja, M. and Loumanmaki, K. 1974. Ruptured interventricular septum complicating acute myocardial infarction. Chest. 66, 675.

    Article  PubMed  Google Scholar 

  • Hill, J. D., Lary, D., Kerth, W. J. and Gerbode, F. 1975. Acquired ventrivular septal defects. Evolution of an operation, surgical technique and results. J. Thorac. Cardiovascular Surg. 70, 440.

    CAS  Google Scholar 

  • James, T. N. 1977. Ruptured interventricular septum and heart block. Circulation 55, 934.

    PubMed  CAS  Google Scholar 

  • Kaplan, M. A., Harris, C. N., Kay, J. H., Parker, D. P. and Magdison, O. 1976. Post-infarction ventricular septal rupture. Chest. 69, 734.

    Article  PubMed  CAS  Google Scholar 

  • Kerr, F. and Haywood, L. J. 1976. Electrocardiographic changes produced by interventricular sepal rupture. Brit. Heart J. 38, 1098

    Article  PubMed  CAS  Google Scholar 

  • London, R. E. and London, S. B. 1965. Rupture of the heart. A critical analysis of 47 consecutive autopsy cases. Circulation 31, 202.

    PubMed  CAS  Google Scholar 

  • Longo, E. A. and Cohen, L. A. 1976. Rupture of interventricular septum in acute myocardial infarction. Am. Heart Jour. 92, 81.

    Article  CAS  Google Scholar 

  • Masumi, R. 1978. Axis shifts and hemiblocks in acute myocardial infarction. Abstracts 8th World Congress of Cardiology, Sept. 1978, p. 57.

  • Meister, S. G. and Helfant, R. H. 1972. Rapid bedside differentiation of ruptured interventricular septum from acute mitral insufficiency. New Eng. J. Med. 287, 1024.

    PubMed  CAS  Google Scholar 

  • Mir, M. A. 1972. M-Complex. The electrocardiographic sign of impending cardiac rupture following myocardial infarction. Scot. Med. J. 17, 319.

    Google Scholar 

  • Normand, J., Perrin, A., Planchu, G. and Forment, R. 1965. Les ruptures parietales au cours des infarctus myocardiques (apropos de 30 observations anatomo-cliniques). Archives des maladies du coeur et des vaisseaux. 58, 1311.

    PubMed  CAS  Google Scholar 

  • Osher, H. L. and Wolff, L. 1952. The diagnosis of infarction of the interventricular septum. Am. Heart J. 45, 429.

    Article  Google Scholar 

  • Schlesinger, Z., Lieberman, Y., Landesberg, A. and Neufeld, H. A. 1971. Repair of ventricular septal defect and left ventricular aneurysm following myocardial infarction. Thorax. 26, 615.

    Article  PubMed  CAS  Google Scholar 

  • Vlodaver, A. and Edwards, J. E. 1977. Rupture of ventricular septum or papillary muscle complicating myocardial infarction. Circulation 55, 815.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiology, Dudley Road Hospital, B18 7QH, Birmingham

    M. M. Khan (Consultant Physician and Cardiologist), M. L. Asgill & J. Mackinnon

Authors
  1. M. M. Khan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. L. Asgill
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. J. Mackinnon
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Khan, M.M., Asgill, M.L. & Mackinnon, J. Electrocardiographic changes produced by septal rupture after acute myocardial infarction. I.J.M.S. 150, 144–151 (1981). https://doi.org/10.1007/BF02938220

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02938220

Keywords

Search

Navigation