Myocardial rupture ACC/AHA guideline recommendations



==ACC/AHA Guidelines- Recommendations for Ventricular Septal Rupture After STEMI ==

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Class I
1. Patients with STEMI complicated by the development of a ventricular septal rupture (VSR) should be considered for urgent cardiac surgical repair, unless further support is considered futile because of the patient’s wishes or contraindications/ unsuitability for further invasive care. (Level of Evidence: B)

2. Coronary artery bypass grafting should be undertaken at the same time as repair of the ventricular septal rupture (VSR). (Level of Evidence: B)}}

Guideline Resources

 * The 2004 ACC/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction


 * The 2007 Focused Update of the ACC/AHA 2004 Guidelines for the Management of Patients with ST-Elevation Myocardial Infarction