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