Management of acute and subacute free wall rupture
1. Acute phase (sequential course according to response) |
Oxygenation/ventilation |
Colloid infusion |
Dobutamine |
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) |