Mortality of unoperated complete rupture is 100%. Prompt recognition and surgery is the only treatment. Role of medical therapy is to maintain BP, enroute to surgery. This includes fluids, inotropic support, vasopressors, IABP etc. Pericardiocentesis is used for relief of tamponade to save life. It is not routinely recommended as there are concerns that it can increase the size of the rent,189 by displacing thrombus and decompressing the contained rupture190 leading to worsening of tamponade.
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