Table 1.
Characteristics of case series patients.
| Case | Age (years) | Sex | Relevant comorbidities | Symptoms and signs | Hemodynamics | Length of hospitalization | Time from symptom onset to first medical contact | Final diagnosis |
|---|---|---|---|---|---|---|---|---|
| 1 | 68 | F | Hypertension Diabetes mellitus |
Lightheadedness Pre-syncope Shoulder pain |
LVEDP 20 mmHg RA 18 mmHg PA 32/19 (24) mmHg PCWP 18 mmHg Fick's CO/CI - 4.6 L/min/2.8 L/min/m2 |
10 days | 7 days | Ventricular free wall rupture |
| 2 | 72 | F | Hypertension Hyperlipidemia Chronic kidney disease Neurofibromatosis |
Shortness of breath Weakness Fall |
LVEDP 30 mmHg RA 14 mmHg PA 43/24 (31) mmHg PCWP 28 mmHg CO/CI 7.8 L/min/ 4.2 L/min/m2 Qp/Qs – 2.5 |
27 days | 4 days | Ventricular septal rupture |
| 3 | 53 | M | Hypertension Hyperlipidemia Obstructive sleep apnea |
Chest discomfort Shortness of breath Diaphoresis |
LVEDP 36 mmHg RA 10 mmHg PA 41/21 (32) mmHg PCWP 16 mmHg CO/ CI 2.4 L/min, 1.2 L/min/m2 Qp/Qs – 2.6 |
1 day | 5 days | Ventricular septal rupture |
| 4 | 72 | F | Hypertension | Shortness of breath | LVEDP 30 mmHg RA 10 mmHg PA 32/12 (19) mmHg PCWP 11 mmHg CO/CI 2.5 L/min, 1.3 L/min/m2 Qp/Qs: 2.8 |
14 days | 7 days | Ventricular septal rupture |
LVEDP – left ventricular end diastolic pressure. RA - right atrium. PA – pulmonary artery. CO – cardiac output. CI – cardiac index. Qp – pulmonary blood flow. Qs – systemic blood flow. Qp/Qs – shunt fraction. F – female. M – male.