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Article: Myocardial rupture associated with bolus injection of contrast medium during computed tomographic study in a patient with acute myocardial infarction: A rare but lethal complication
Title | Myocardial rupture associated with bolus injection of contrast medium during computed tomographic study in a patient with acute myocardial infarction: A rare but lethal complication |
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Authors | |
Keywords | Contrast media Heart rupture, post-infarction Injections, intra-arterial Tomography, X-ray computed |
Issue Date | 2009 |
Publisher | Hong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html |
Citation | Hong Kong Medical Journal, 2009, v. 15 n. 4, p. 285-287 How to Cite? |
Abstract | Well-documented potential cardiovascular complications associated with the use of contrast media include bradycardia, hypotension, arrhythmia, and conduction disturbances. Rupture of the myocardium after acute myocardial infarction is a known cause of death, but has yet to be recognised as a potential complication of the use of a bolus injection of contrast medium. On the contrary, contrast-enhanced computed tomographic studies have been performed widely for the diagnosis and evaluation of myocardial infarction. We report a case of complicated myocardial rupture after a single bolus injection of contrast medium during a computed tomographic study in an elderly woman with acute myocardial infarction, which led to cardiac tamponade and rapid death. Although rare, this should alert us to the need for cautious use of contrast medium in patients with acute myocardial infarction. |
Persistent Identifier | http://hdl.handle.net/10722/144252 |
ISSN | 2023 Impact Factor: 3.1 2023 SCImago Journal Rankings: 0.261 |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lai, V | en_HK |
dc.contributor.author | Hau, KC | en_HK |
dc.contributor.author | Lau, HY | en_HK |
dc.contributor.author | Chan, WC | en_HK |
dc.date.accessioned | 2012-01-20T01:56:30Z | - |
dc.date.available | 2012-01-20T01:56:30Z | - |
dc.date.issued | 2009 | en_HK |
dc.identifier.citation | Hong Kong Medical Journal, 2009, v. 15 n. 4, p. 285-287 | en_HK |
dc.identifier.issn | 1024-2708 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/144252 | - |
dc.description.abstract | Well-documented potential cardiovascular complications associated with the use of contrast media include bradycardia, hypotension, arrhythmia, and conduction disturbances. Rupture of the myocardium after acute myocardial infarction is a known cause of death, but has yet to be recognised as a potential complication of the use of a bolus injection of contrast medium. On the contrary, contrast-enhanced computed tomographic studies have been performed widely for the diagnosis and evaluation of myocardial infarction. We report a case of complicated myocardial rupture after a single bolus injection of contrast medium during a computed tomographic study in an elderly woman with acute myocardial infarction, which led to cardiac tamponade and rapid death. Although rare, this should alert us to the need for cautious use of contrast medium in patients with acute myocardial infarction. | en_HK |
dc.language | eng | - |
dc.publisher | Hong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html | en_HK |
dc.relation.ispartof | Hong Kong Medical Journal | en_HK |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.rights | Hong Kong Medical Journal. Copyright © Hong Kong Academy of Medicine Press. | - |
dc.subject | Contrast media | en_HK |
dc.subject | Heart rupture, post-infarction | en_HK |
dc.subject | Injections, intra-arterial | en_HK |
dc.subject | Tomography, X-ray computed | en_HK |
dc.subject.mesh | Cardiac Tamponade - etiology | - |
dc.subject.mesh | Contrast Media - administration and dosage | - |
dc.subject.mesh | Heart Rupture - etiology | - |
dc.subject.mesh | Injections - adverse effects | - |
dc.subject.mesh | Myocardial Infarction - radiography | - |
dc.title | Myocardial rupture associated with bolus injection of contrast medium during computed tomographic study in a patient with acute myocardial infarction: A rare but lethal complication | en_HK |
dc.type | Article | en_HK |
dc.identifier.email | Lai, V:laiv@hku.hk | en_HK |
dc.identifier.email | Lau, HY:hylau1@hku.hk | en_HK |
dc.identifier.authority | Lai, V=rp01516 | en_HK |
dc.identifier.authority | Lau, HY=rp01627 | en_HK |
dc.description.nature | published_or_final_version | - |
dc.identifier.pmid | 19652236 | - |
dc.identifier.scopus | eid_2-s2.0-70349434801 | en_HK |
dc.identifier.hkuros | 197944 | - |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-70349434801&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 15 | en_HK |
dc.identifier.issue | 4 | en_HK |
dc.identifier.spage | 285 | en_HK |
dc.identifier.epage | 287 | en_HK |
dc.publisher.place | Hong Kong | en_HK |
dc.identifier.scopusauthorid | Lai, V=15829844300 | en_HK |
dc.identifier.scopusauthorid | Hau, KC=34980008900 | en_HK |
dc.identifier.scopusauthorid | Lau, HY=24553923900 | en_HK |
dc.identifier.scopusauthorid | Chan, WC=26633586200 | en_HK |
dc.identifier.issnl | 1024-2708 | - |