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Case Sharing: A Case of Cardiogenic Shock and Cardiac Rupture after Acute Myocardial Infarction, Rescued by Impella Induction
Dr. Yu Masutani, Nara Prefecture General Medical Center
Case Example
Woman in her 70s
Chief complaint
Chest pain
Current medical history
ADL full, lives alone
The patient had a cerebral infarction in X-12 and suffered no sequelae. She continued her medication, but her condition did not improve. At around 18:00 on April X, XXXX, she experienced a sudden chest pain, and called for emergency medical assistance.
Medical history
Postoperative breast cancer,
Rheumatoid arthritis,
Cerebral infarction
Medication history
Salazosulfapyridine 500mg 1T,
Famotidine 20mg 1T,
aspirin 100mg 1T,
Prednisolone 2.5mg 1T
Family history
None
Life history
Smoking 20 cigarettes/day (20s-50s),
No alcohol consumption
Present symptoms at the time of visit
GCS E4V5M6,
BP 150/90mmHg,
HR 71/min,
RR 24 times/min,
SpO2 98% (10L reservoir),
BT 36.2°C,
Heart sounds: no murmur,
Respiratory sounds bilateral coarse crackles,
No leg edema
Blood test
WBC 10,000/µL
RBC 427×104/μL
Hb 13.4g/dL
PLT 26....
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