TABLE 3.
Clinical features of 3 patients with acute MI and developed both cardiac rupture (CR) and left ventricular thrombus (LVT).
| Variable | Case 1 | Case 2 | Case 3 |
| Sex | Male | Female | Male |
| Age (year) | 67 | 78 | 70 |
| Diagnosis method | Echocardiography | Echocardiography | Echocardiography + Pericardiocentesis |
| Revascularization | PCI | CAG | PCI |
| Type of MI | STEMI | STEMI | STEMI |
| Location of MI | anterior | anterior + inferior | anterior |
| Rupture type | ventricular septum | ventricular septum | Free wall |
| LVT localization | Apex | anterior/septum | apex |
| MI-to-CR interval (day) | 1 | 5 | 5 |
| MI-to-LVT interval (day) | 14 | 26 | 3 |
| Ventricular aneurysm (VA) | Yes | Yes | Yes |
| Timing of VA and LVT | LVT prior to VA | simultaneously | simultaneously |
| Pericardial effusion | Yes | Yes | No |
| Killip class | IV | III | I |
| Percutaneous closure | No | Yes | No |
| Surgical repair | No | No | No |
| Days of hospitalization | 6 | 37 | 5 |
| Outcome | Survived | Deceased | deceased |
| WBC count (109/L) | 7.07 | 14.73 | 7.15 |
| Lymphocyte count (109/L) | 1.6 | 1.94 | 1.41 |
| Monocyte count (109/L) | 0.54 | 0.85 | 0.59 |
| Neutrophil count (109/L) | 4.77 | 11.9 | 4.94 |
| Platelet count (109/L) | 265 | 227 | 178 |
| Mean platelet volume (fl) | 9.3 | 11.7 | 11.1 |
| Fibrinogen (mg/L) | 2.93 | 5.35 | 4.71 |
| FDP (mg/L) | 5.7 | 16.85 | 2.48 |
| D dimer (mg/L) | 2.6 | 5.61 | 1.53 |
| hsCRP (mg/L) | >9.5 | >9.5 | n.d. |
| AST (U/L) | 24 | 282 | 38 |
| LDH (U/L) | 305 | 1039 | 413 |
| HBDH (U/L) | 290 | 396 | 398 |
| Creatine kinase (U/L) | 137 | 135 | 193 |
| CK-MB (U/L) | 11 | 17 | 17 |
| hs-TnT (U/L) | 0.46 | 3.7 | 2.97 |
PCI, percutaneous coronary intervention; CAG, coronary artery angiogram only; STEMI, ST-elevation myocardial infarction; hsCRP, highly sensitive C-reactive protein; FDP, fibrinogen degradation products; AST, aspartate transaminase; LDH, lactate dehydrogenase; HBDH, α- hydroxybutyrate dehydrogenase; CK-MB, creatine kinase-myocardial band; hs-TnT, highly sensitive-troponin-T; n.d., not done.