{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T04:39:25Z","timestamp":1776919165289,"version":"3.51.2"},"reference-count":0,"publisher":"Queen's University Library","issue":"01","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["POCUS J"],"abstract":"<jats:p>Background: ST segment elevation myocardial infarction (STEMI) is a common cause of death and disability in the United States. A rare, though highly morbid complication of STEMI is a rupture of the left ventricular free wall. Prompt recognition and action by emergency physicians is essential. This report describes a case of left ventricular free wall rupture in the setting of a STEMI, diagnosed by point of care ultrasound (POCUS) in the emergency department (ED). Case Presentation: A 72-year-old man presented with severe chest pain and STEMI on his electrocardiogram (ECG), days after an untreated episode of chest pain. Cardiac POCUS revealed a complex pericardial effusion with partially clotted blood, which raised concern for a rupture of the left ventricular free wall. Conclusion: Cardiac POCUS enabled providers to quickly recognize a complex pericardial effusion and cardiac tamponade in a patient presenting with a STEMI.<\/jats:p>","DOI":"10.24908\/pocusj.v11i01.19500","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T04:02:34Z","timestamp":1776916954000},"page":"34-36","source":"Crossref","is-referenced-by-count":0,"title":["Post-Myocardial Infarction Left Ventricular Free Wall Rupture Diagnosed by POCUS"],"prefix":"10.24908","volume":"11","author":[{"given":"Jessica","family":"Adams","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shannon","family":"Overholt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward","family":"Descallar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4044-4445","authenticated-orcid":false,"given":"Taryn","family":"Hoffman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10534","published-online":{"date-parts":[[2026,4,22]]},"container-title":["POCUS Journal"],"original-title":[],"link":[{"URL":"https:\/\/ojs.library.queensu.ca\/index.php\/pocus\/article\/download\/19500\/13119","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ojs.library.queensu.ca\/index.php\/pocus\/article\/download\/19500\/12961","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ojs.library.queensu.ca\/index.php\/pocus\/article\/download\/19500\/13119","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T04:02:34Z","timestamp":1776916954000},"score":1,"resource":{"primary":{"URL":"https:\/\/ojs.library.queensu.ca\/index.php\/pocus\/article\/view\/19500"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,22]]},"references-count":0,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2026,4,22]]}},"URL":"https:\/\/doi.org\/10.24908\/pocusj.v11i01.19500","relation":{},"ISSN":["2369-8543"],"issn-type":[{"value":"2369-8543","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,22]]}}}