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Keys for detecting cardiac rupture
Date:1/9/2012

d try to plug the hole with your finger. Not even that way can you save the majority of patients with acute breach." In the cases of subacute breach, the patient survives for at least an hour, but even though on occasions there is time to operate, the survival outcomes are few and far between. In Jimnez' study there is a record of one case of survival following acute breach and two or three in the case of subacute. These data show that acting quickly is not effective enough. The thesis focuses on acting in advance; to learn to read the warning signs in order to react before CR occurs.

These signs indicate that CR more frequently affects the elderly, women, patients with a history of arterial hypertension and without a history of diabetes, heart failure or ischemic heart disease (angina or heart attack).

One of the main risk factors is delay in getting to hospital: even though in terms of symptoms and pain the heart attack that leads to CR is the same as any other attack, whatever the reason may be, these patients get to A&E later. "Because the symptoms are minimized or because they are attributed to something else What happens is that in the few cases in which the patients have a heart attack, they get through it and arrive when clinical pericarditis has set in (about 24 hours following the attack), they have a very high rate of breach," explains Jimnez. He also highlights the fact that the heart attack that ends in CR evolves in a more benign way than usual: "Its evolution is less complicated, it is a milder attack."

Paying attention to bouts of nausea

So the results of the thesis point to monitoring heart attack patients more when they get to hospital late, particularly if they are women and/or elderly women. Jimnez mentions another detail: "It only happens in a third of the cases, but it is important to observe during the course of the attack whether the patient is uneasy, has an unexplained sensation of discomfo
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Contact: Amaia Portugal
a.portugal@elhuyar.com
34-943-363-040
Elhuyar Fundazioa
Source:Eurekalert

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