Table 4

Management of acute and subacute free wall rupture

1.  Acute phase (sequential course according to response)
Colloid infusion
Pericardiocentesis (start with 10–50 ml)
Cardiac massage
Surgical treatment
2.  Maintenance phase
Withdrawal of dobutamine (progessive)
Blood pressure control with β blockers (systolic
 100–120 mm Hg)
Prolonged rest (5–10 days)
Avoidance of physical exercise
Echocardiography (every 2–3 days)