Fatal Cardiogenic Shock Following Papillary Muscle Rupture in a Patient with STEMI: A Case Report
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We report the case of a 55-year-old hypertensive and asthmatic patient who presented with an ST-segment elevation myocardial infarction in the high lateral wall. The patient was thrombolysed 4 hours after symptom onset but subsequently developed cardiogenic shock due to acute mitral insufficiency secondary to rupture of the anterolateral papillary muscle. Despite aggressive management, including thrombolysis, inotropic support, and oro-tracheal intubation, the outcome was fatal due to refractory bradycardia and asystole.
