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Echocardiography for Intensivists pp 125–131Cite as

Ischemia and Myocardial Infarction

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Abstract

The echocardiogram is a standard tool in the treatment of patients with acute myocardial infarction. The role of echocardiography in establishing the diagnosis, location, and extent of myocardial infarction, in diagnosing mechanical complications of infarction, and providing prognostic information that is important for risk stratification is reviewed. The use of echocardiography in ischemic disease is based upon the rapid change in wall motion of a segment after an interruption or critical decrease in its blood supply. Importantly, the sensitivity is significantly higher than that for electrocardiography and is comparable to that for myocardial perfusion imaging.

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Further Reading

  • Greaves SC (2010) Role of echocardiography in acute coronary syndromes. Heart 88(4):419–425

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  • Cheitlin MD, Armstrong WF, Aurigemma GP et al (2006) ACC/AHA/ASE 2003 guideline update for the clinical application of echocardiography: summary article. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASE committee to update the 1997 guidelines for the clinical application of echocardiography). J Am Soc Echocardiogr 16(10):1091–1110

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  • Leung DY, Arnold CT (2010) Emerging clinical role of strain imaging in echocardiography. Heart Lung Circ 19:161–174

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  • Muttreja MR, Mohler ER 3rd (1999) Clinical use of ischemic markers and echocardiography in the emergency department. Echocardiography 16(2):187–192

    Google Scholar 

  • Chen X, Nakatani S (2011) Transmural myocardial strain gradient: a new and robust quantitative index of left ventricular wall motion based on myocardial strain imaging. Echocardiography 28(2):181–187

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anesthesia and Intensive Care, Ospedali Riuniti di Bergamo, Bergamo, Italy

    F. Luca Lorini, Marialuigia Dello Russo & Elena Pagani

Authors
  1. F. Luca Lorini
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  2. Marialuigia Dello Russo
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  3. Elena Pagani
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Corresponding author

Correspondence to F. Luca Lorini .

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Editors and Affiliations

  1. Ospedale Santa Maria Nuova, Reparto di Terapia Intensiva, Azienda Sanitaria di Firenze, Piazza S.Maria Nuova 1, Firenze, 50123, Italy

    Armando Sarti

  2. , Dipartimento di Anestesia e Rianimazione, Az. Osp. Ospedali Riuniti di Bergamo, Via Delle Cave 31/c, Bergamo, 24127, Italy

    F. Luca Lorini

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© 2013 Springer-Verlag Italia

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Lorini, F.L., Russo, M.D., Pagani, E. (2013). Ischemia and Myocardial Infarction. In: Sarti, A., Lorini, F. (eds) Echocardiography for Intensivists. Springer, Milano. https://doi.org/10.1007/978-88-470-2583-7_12

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  • DOI: https://doi.org/10.1007/978-88-470-2583-7_12

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2582-0

  • Online ISBN: 978-88-470-2583-7

  • eBook Packages: MedicineMedicine (R0)

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