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) |