Research Article

New Clinical Classification for Ventricular Free Wall Rupture following Acute Myocardial Infarction

Table 1

Baseline patient characteristics.

VariablesAll FWR ()Cardiac arrest type ()Unstable type ()Stable type ()

Age (years)73.0 [67.5, 79.0]73.0 [69.5, 79.0]75.0 [59.0, 77.0]55.5 [51.8, 63.5]
Female43 (55.1)37 (56.9)3 (42.9)3 (50.0)
Smoking24 (30.8)22 (33.8)1 (14.3)1 (16.7)
Alcohol14 (17.9)12 (18.5)0 (0.0)2 (33.3)
Prior hypertension47 (60.3)37 (56.9)6 (85.7)4 (66.7)
Prior diabetes23 (29.5)21 (32.3)1 (14.3)1 (16.7)
Prior MI6 (7.7)6 (9.2)0 (0.0)0 (0.0)
Anterior MI51 (65.4)40 (61.5)6 (85.7)5 (83.3)
Time from onset to admission (hours)6.0 [3.0, 11.3]6.0 [3.0, 12.5]10.0 [2.0, 12.0]4.0 [1.8, 6.0]
SBP (mm hg)115.0 [103.0, 126.5]120.0 [105.0, 130.0]105.0 [95.0, 110.0]115.0 [90.5, 125.3]
Heart rate (bpm)79.5 [65.0, 92.3]78.5 [63.3, 91.3]80.0 [70.0, 110.0]76.5 [61.5, 99.3]
Killip class III or IV18 (23.1)16 (24.6)1 (14.3)1 (16.7)
WBC (1,000/mm3)
Hemoglobin (g/L)133.0 [121.0, 140.0]132.0 [124.0, 139.0]137.0 [112.0, 153.0]136.0 [117.0, 151.3]
Platelet count (1,000/mm3)211.5 [170.0, 248.5]215.0 [170.0, 251.0]218.0 [182.0, 247.0]172.5 [144.5, 227.0]
Aspirin+thienopyridine72 (92.3)61 (93.8)5 (71.4)6 (100.0)
Anticoagulants71 (91.0)60 (92.3)5 (71.4)6 (100.0)
ACEI/ARB24 (30.8)20 (30.8)1 (14.3)3 (50.0)
β-Blockers41 (52.6)33 (50.8)3 (42.9)5 (83.3)
Statin65 (83.3)56 (86.2)4 (57.1)5 (83.3)
Primary PCI19 (24.3)12 (18.5)3 (42.9)4 (66.7)
Thrombolysis6 (7.7)5 (7.7)0 (0.0)1 (16.7)

Data given as (%), , or median (IQR). ACEI: angiotensin-converting enzyme inhibitor; ARB: angiotensin receptor blocker; IQR: interquartile range; MI: myocardial infarction; PCI: percutaneous coronary intervention; SD: standard deviation; SBP: systolic blood pressure; WBC: white blood cell counts.