Pediatric Heart Expert Forum
Myocardial Rupture from CPR
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Myocardial Rupture from CPR

Has anyone heard of or have information on the possibility of CPR causing Myocardial Rupture - Cardiac Tamponade in a 2 year old?
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Dear Linkquest,

There are very few cases in the medical literature where myocardial rupture is felt to have occurred in association with cardiopulmonary resuscitation.  In the case reports that I could find, 3 were adults, and one was a 4 year-old child.  As best as I can tell, this is most likely due to perforation from a fractured rib during CPR.  It also may be due to weakening of the heart muscle from an underlying disease, such as myocarditis, a viral infection of the heart muscle.  Tamponade is the term that is used when there is enough fluid in the pericardial sac around the heart to prevent adequate inflow and outflow of blood to the heart pump, which leads to severe loss of systemic blood pressure.  Since I don’t have any further details regarding the child to whom you are referencing, I can’t say for sure what may have happened in this case.
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