ABDOMINAL
GENERALISED LYMPHADENOPATHY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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A 36-year-old man, with acute transmural infarction of the left ventricle’s myocardium, died from the rupture of the heart and tamponade. What process could be a reason of the heart rupture in the zone of infarction?
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Autolysis with melting of myocardium fabric (myomalacia)
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Substitution of connective fabric in area of infarction (organization)
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Rising of blood pressure in the small circulatory circle
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Scar formation with thinning of wall of the left ventricle
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Explanation:
Detailed explanation-1: -After arrhythmias and cardiogenic shock, the commonest cause of death after acute MI is rupture. Cardiac rupture complicates 10 per cent of acute MIs and occurs in the healing stages at around five to nine days.
Detailed explanation-2: -In conclusion, left ventricular free-wall rupture is a potentially life-threatening mechanical complication of acute myocardial infarction. It mostly occurs in patients with ST-elevation MI. Other causes, such as infections and trauma, are also responsible.
Detailed explanation-3: -The main echocardiographic findings in patients with LVFWR are pericardial effusion and intrapericardial echoes; occasionally, right-heart collapse or the actual tear itself can be seen.
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