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Case of the day Apical VSR in a patient with extensive acute anterior wall Mi complicated with cardiogenic shock... Rupture of the interventricular septum after acute myocardial infarction (MI) usually occurs in the setting of anterior wall infarction and in patients with poor collateral circulation. ▪In fbrinolytic trials, it developed in only 0.8% of patients, with an associated 30-day mortality of 74%. ▪Septal defects in patients with anterior infarction tend to be apical in location, whereas
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