Contusion maybe managed conservatively, while myocardial rupture
would necessitate emergent surgery for wall repair.
As the patients hospitalized with myocardial rupture
were with multiple comorbiditics, the in-hospital mortality in our case was 100%.
From the clinical point of view left ventricular remodeling is a dynamic process, starting in the acute phase of myocardial infarction (MI) with infarct expansion-that is, rearrangement of wall structure leading to myocardial thinning and lengthening, and progressing to left ventricular dilation and hypertrophy, the development of infarct expansion commonly precedes myocardial rupture
and denotes a worsened prognosis.