A rare long-term survival of the life-threatening trio: silent myocardial infarction complicated by ventricular septal rupture, type 2 diabetes mellitus and chronic bronchitis

作者：Rayhan, Md Abdur Rob; He, Yong-Ming^*; Yang, Xiang-Jun; Zhou, Bing-Yuan; Zhao, Xin; Xu, Hai-Feng; Du, Xiao-Jiao; Qian, Yun-Xia

来源：Journal of Thoracic Disease, 2015, 7(9): 1665-1668.

DOI：10.3978/j.issn.2072-1439.2015.09.17

• Silent myocardial infarction
• ventricular septal rupture (VSR)
• type 2 diabetes mellitus
• chronic bronchitis
• misdiagnosis
• long term survival

Silent myocardial infarction followed by ventricular septal rupture (VSR) is a rare phenomenon. In the absence of a timely diagnosis and surgical correction, the short term mortality of such patients is greater than 90%. We present one such unique case of a patient with an asymptomatic myocardial infarction complicated by VSR, type 2 diabetes mellitus and chronic bronchitis. Unfortunately, this possibly life-threatening condition had been misdiagnosed for more than one month after initial medical contact. Lack of typical symptoms of chest pain and chronic bronchitis is primarily responsible for this long-time misdiagnosis. We want to emphasize the importance of systematic diagnostic work-up, high vigilance for possibility of VSR complicating myocardial infarction in aged patients with diabetes and chronic bronchitis, which may mislead doctors' judgments and put patients at high risk.

• 出版日期2015-9
• 单位苏州大学