Nausea and Dyspnea on Exertion: Left Ventricular Free-wall Rupture-Reference-Cited by-同舟云学术

Nausea and Dyspnea on Exertion: Left Ventricular Free-wall Rupture

Published:2021-12-16 Issue:1 Volume:6 Page:90-92
ISSN:2474-252X
Container-title:Clinical Practice and Cases in Emergency Medicine
language:
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Author:

Wilson Juliana¹,Mendes Matthew²,Betz Marian²,Mingo Juan³

Affiliation:

1. University of Colorado Denver – Anschutz Medical Campus, Department of Emergency Medicine, Aurora, Colorado; Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado

2. University of Colorado Denver – Anschutz Medical Campus, Department of Emergency Medicine, Aurora, Colorado

3. University of Colorado School of Medicine, Aurora, Colorado

Abstract

Case Presentation: A 53-year-old female presented to the emergency department with three days of nausea and dyspnea on exertion after using methamphetamine. Initial electrocardiogram revealed an ST-elevation myocardial infarction. While awaiting transfer to the cardiac catheterization lab the patient suffered a witnessed cardiac arrest. During resuscitative efforts an enlarging pericardial effusion on point-of-care ultrasound led to the detection of a left ventricular free-wall rupture (LVFWR). This case illustrates the progression of a left ventricular free-wall rupture using point-of-care ultrasound. Discussion: Left ventricular free-wall rupture has a low incidence rate in the setting of an acute myocardial infarction. Ultrasonography is the tool of choice for detecting a LVFWR.

Publisher

Western Journal of Emergency Medicine

Subject

Emergency Nursing,Emergency Medicine

Reference5 articles.

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