Title: Predictors of Cardiac Rupture After AMI
题目：急性心肌梗死（AMI）之后，心脏破裂危险因素
Author 作者: Semhar Tewelde
翻译：江利冰 校对：肖锋

- In the era of revascularization and aggressive cardiac care there has been a continual decline in acute myocardial infarction (AMI) mortality rates; however one of the most deadly complications, cardiac rupture (left ventricular free wall, ventricular septum, or papillary muscle rupture), still remains relatively stable.
在血管重建和积极的心脏治疗时代，急性心肌梗死的死亡率连续下降；但是其中一种致死性的并发症，心脏破裂（左室游离壁、室间隔或者乳头肌破裂）的发生率却保持相对稳定。
- Cardiac rupture is an increasingly more frequent cause of death during AMI, thus a recent study retrospectively assessed the clinical and morphologic variables in those with and without cardiac rupture that were hospitalized for AMI.
急性心肌梗死的患者中，越来越多的患者因为心脏破裂而死亡，因此最近一项研究回顾性评估了因急性心肌梗死而入院的患者，发生以及未发生心脏破裂的临床和形态学特点。
- Cardiac rupture overwhelmingly complicates a first AMI.
心脏破裂使得首次急性心肌梗死的病情相当复杂化。
- Cardiac rupture occurs most often in patients with an immense quantity of cardiac adipose tissue, the size of the left ventricular cavity is typically normal, and the area of the infarct is small.
心脏破裂最常发生在有大量心脏脂肪组织，左室腔通常是正常的以及梗死面积不大的急性心肌梗死患者。
- Heart failure patients with prior AMI have healed scar tissue and are at nominal risk of complications such as rupture if a subsequent AMI occurs.  
心力衰竭的患者，如果之前发生过急性心肌梗死，并且形成了愈合的疤痕组织，当再次出现急性心肌梗死时，发生并发症的风险（例如心脏破裂）增加的并不明显。

References 参考文献
Roberts W, et al. Commonalities of Cardiac Rupture (Left Ventricular Free Wall or Ventricular Septum or Papillary Muscle) During Acute Myocardial Infarction Secondary to Atherosclerotic Coronary Artery Disease. The American Journal of Cardiology. Volume 115, Issue 1, Pages 125-140 (1 January 2015).