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Mechanical Complications of MI: Papillary Muscle Rupture, Free Wall Rupture, Ventricular Pseudoaneurysm

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Course Details

Credit/contact hours: .75
Estimated time to complete: 45 minutes
Publication Date: July 11, 2018
Expiration date: July 10, 2024
Reviewed: July 9, 2021


Myocardial infarction may lead to profound weakening of the involved wall and disruption of the infarcted segment. Depending on the location of the rupture, a variety of mechanical complications can result.

Note: This course is eligible for ACPE credit.

You Will Learn

  • To describe the typical time course and clinical presentations of acute mitral regurgitation due to papillary muscle rupture
  • To define an appropriate diagnostic approach to the patient with a suspect acute mitral regurgitation complicating acute MI
  • To describe the potential therapeutic strategies and time course for acute mitral regurgitation
  • To list the potential consequences and complications of myocardial free wall rupture and ventricular pseudoaneurysm

Method and medium:

Learners participate in the interactive learning modules by correctly answering multiple choice questions dispersed throughout. Learners will be prompted to try again if a question is answered incorrectly.The course will open in a new tab - to exit the course, simply close that tab.

Michael Ragosta III, MD

Dr. Michael Ragosta is an attending cardiologist at the University of Virginia Health System with a sub-specialty in interventional cardiology. His clinical practice includes complex percutaneous coronary intervention, myocardial infarction, valvular heart disease, structural heart disease, and general cardiology. Dr. Ragosta is the Director of the Cardiac Catheterization Laboratories at UVA and author of numerous textbooks related to cardiac catheterization and hemodynamic interpretation.

DISCLOSURE: This individual reports no relevant financial relationships with commercial entities.

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