Current Cardiology Reports

, Volume 14, Issue 3, pp 350–358

Myocardial Contrast Echocardiography After Myocardial Infarction

Echocardiography (RM Lang, Section Editor)

DOI: 10.1007/s11886-012-0263-0

Cite this article as:
Ito, H. Curr Cardiol Rep (2012) 14: 350. doi:10.1007/s11886-012-0263-0

Abstract

Myocardial contrast echocardiography (MCE) enables direct assessment of the degree and adequacy of microvascular perfusion as well as the presence of wall motion abnormalities. MCE has the following benefits in patients with acute myocardial infarction (MI): 1) rapid and definite diagnosis of acute MI; 2) identification of patients who may benefit from prompt reperfusion therapy; 3) assessment of the efficacy of mechanical or pharmacologic intervention for an open infarct-related artery; 4) estimation of MI size early after reperfusion and residual myocardial viability; 5) identification of being at high risk for post-MI complications and left ventricular remodeling; and 6) assessment of myocardial viability and ischemia prior to hospital discharge. Therefore, MCE is an ideal tool for correct triaging of patients to revascularization and has both prognostic and therapeutic implications in patients with acute MI.

Keywords

Echocardiography Contrast agent Acute myocardial infarction Microcirculation Perfusion Reperfusion Contractile function Coronary intervention Thrombolysis Cardioprotection 

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Cardiovascular MedicineOkayama University, Graduate School of MedicineOkayamaJapan