Myocardial rupture is a rare event. However, it can occur when a myocardial infarction, infectious process, cardiac trauma, pericar-dial disease, or other myocardial dysfunction weakens the cardiac muscle (eg, ventricular aneurysm) substantially. Persistent elevation of the ST segment is an indication of ventricular aneurysm. Inmany cases, the result of myocardial rupture is immediate death, even if the patient undergoes immediate cardiac surgery.
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