Cardiovascular Medicine Book

//fpnotebook.com/

Echocardiogram in Myocardial Infarction

Aka: Echocardiogram in Myocardial Infarction, Echocardiogram in Acute MI
  1. Advantages
    1. Noninvasive
    2. Quick
    3. Portable
    4. Inexpensive
  2. Disadvantages
    1. Operator dependent
  3. Indications
    1. Diagnosis
      1. Ongoing Chest Pain
      2. Transmural Myocardial Infarction
      3. No prior Myocardial Infarction
    2. Prognosis
      1. Baseline for development of complications
      2. Potential discharge from Critical Care Unit
    3. Monitoring
      1. Response to therapeutic interventions
  4. Wall Motion Abnormalities
    1. Early detection by Echocardiogram
    2. Precedes Electrocardiogram changes
    3. Less accurate in patient without ongoing Chest Pain
    4. Difficult to interpret if prior Myocardial Infarction
    5. Sensitivity
      1. Transmural Myocardial Infarction: 90%
      2. Subendocardial Myocardial Infarction: 60-80%
  5. Complication Detection
    1. Aneurysm
    2. Ventricular Septal Defect (VSD)
    3. Papillary muscle rupture with regurgitation
    4. Myocardial Rupture
    5. Pericardial Effusion
    6. Left Ventricle thrombus formation
    7. Infarct extension
    8. Right Ventricle infarction
  6. References
    1. Zile (2002) Circulation 105:1387-93 [PubMed]

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree