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. 2022 Sep 30;29(5):773–781. doi: 10.5603/CJ.a2022.0035

Table 2.

Characteristics of the myocardial infarction and ventricular septal rupture.

Variable Surgery (n = 88) Conservative (n = 47) P
Anterior AMI 40 (45.5%) 27 (57.5%) 0.184
Inferior AMI 47 (53.4%) 21 (44.7%) 0.334
Coronarography 80 (90.9%) 30 (65.2%) < 0.001
Culprit lesion: 0.407
 LMCA 1 (1.3%) 0
 LAD 33 (42.3%) 13 (41.9%)
 CX 3 (3.9%) 0
 RCA 39 (50.0%) 16 (51.6%)
 Diffuse disease 1 (1.3%) 0
 No significant 1 (1.3%) 2 (6.5%)
Dominant RCA 59 (78.7%) 22 (81.5%) 0.613
Revascularization 61 (69.3%) 23 (48.9%) 0.020
CABG 33 (37.5%) 2 (4.2%) < 0.001
PCI 39 (44.3%) 22 (50.0%) 0.537
LVEF post-AMI 44.3; 11.0 42.7; 11.4 0.429
Mechanical complication associated:
 Free wall rupture 8 (9.4%) 1 (2.2%)
 Papillary muscle rupture 2 (2.4%) 1 (2.2%)
 Pseudoaneurysm 2 (4.4%) 0.320
Apical VSR 53 (61.6%) 31 (72.1%) 0.240
Basal VSR 37 (43.0%) 13 (31.0%) 0.189
VSR size [cm]* 1.5 (1–2) 1.5 (1–1.7) 0.717
Patients with VSR diagnosis > 1 day after AMI diagnosis 31 (35.2%) 12 (26.7%) 0.318
Patients with VSR diagnosis > 1 day after onset of symptoms 42 (48.8%) 21 (45.7%) 0.727
*

Non-normal distribution. The data are expressed as mean ± standard deviation and median [interquartile range] or number (percentage);

AMI — acute myocardial infarction; CABG — coronary artery bypass grafting; LAD — left anterior descending artery; LMCA — left main coronary artery; LVEF — left ventricular ejection fraction; CX — circumflex artery; RCA — right coronary artery; VSR — ventricular septal rupture; PCI — percutaneous coronary intervention