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Echocardiography in Coronary Artery Disease and Acute Myocardial Infarction

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Case-Based Textbook of Echocardiography

Abstract

Coronary artery disease is one of the major causes of morbidity and mortality. Imaging modalities represent the key method not only for the evaluation of the disease extent and severity but also for the assessment of hemodynamic complications. In skilled hands, echocardiography provides valuable and beneficial information for clinical management and prognosis study. Complex assessment confers information about global and regional myocardial function, myocardial ischemia, myocardial viability, and ischemic mitral regurgitation as well as about development of complications such as left ventricular clot formation, myocardial rupture, and pericardial effusion. The main disadvantage of echocardiography, however, is the limited echogenicity of many cases and its indubitable operator-dependence. Even so, the ability to bring echocardiographic imaging to the bedside of our cases makes the method crucial and its knowledge essential for all cardiologists.

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Abbreviations

CAD:

Coronary artery disease

LV:

Left ventricle

LV/LA:

Left ventricular/Left atrial

LVOT:

Left ventricular outflow tract

MI:

Myocardial infarction

MR:

Mitral regurgitation

MV:

Mitral valve

PM:

Papillary muscle

RV:

Right ventricular

SAM:

Systolic anterior motion

STEMI:

ST-Segment myocardial infarction

TEE:

Transesophageal echocardiography

TTE:

Transthoracic echocardiography

VSD:

Ventricular septal defect

WMSI:

Wall motion score index

References

  1. Flachskampf FA, Schmid M, Rost C, Achenbach S, DeMaria AN, Daniel WG. Cardiac imaging after myocardial infarction. Eur Heart J. 2011;32(3):272.

    Article  Google Scholar 

  2. Votavová R, Linhartová A, Kořínek J, Marek J, Linhart A. Echocardiography in coronary artery disease. Imaging Coron Artery Dis. 2015;57(6):e408–18.

    Google Scholar 

  3. Greaves SC. Role of echocardiography in acute coronary syndromes. Heart. 2002;88:419–25.

    Article  Google Scholar 

  4. Giusca S, Jurcut R, Ticulescu R, Dumitru D, Vladaia A, Savu O, Voican A, Popescu BA, Ginghina C. Accuracy of handheld echocardiography for bedside diagnostic evaluation in a tertiary cardiology center: comparison with standard echocardiography. Echocardiography. 2011;28:136–41.

    Article  Google Scholar 

  5. Dencker M, Tasevska G, Grubb D, Stagmo M, Gustafsson R. Unexpected rupture of the left ventricular free wall in the echo-lab. Eur J Echocardiogr. 2008;9:92–4.

    PubMed  Google Scholar 

  6. Morimoto H, Mukai S, Obata S, Fujiwara Y. Left ventricular free wall rupture after coronary artery bypass grafting. Eur J Cardiothorac Surg. 2012;41:707.

    Article  Google Scholar 

  7. Kwan J, Shiota T, Agler DA, Popović ZB, Qin JX, Gillinov MA, Stewart WJ, Cosgrove DM, McCarthy PM, Thomas JD, study R-t t-d e. Geometric differences of the mitral apparatus between ischemic and dilated cardiomyopathy with significant mitral regurgitation: real-time three-dimensional echocardiography study. Circulation. 2003;107:1135–40.

    Article  Google Scholar 

  8. Grigioni F, Detaint D, Avierinos JF, Scott C, Tajik J, Enriquez-Sarano M. Contribution of ischemic mitral regurgitation to congestive heart failure after myocardial infarction. J Am Coll Cardiol. 2005;45:260–7.

    Article  Google Scholar 

  9. Donoiu I, Istratoaie O, Ionescu DD. Ventricular septal rupture after acute myocardial infarction. Hell J Cardiol. 2010;51:374–6.

    Google Scholar 

  10. Goldberger JJ, Himelman RB, Wolfe CL, Schiller NB. Right ventricular infarction: recognition and assessment of its hemodynamic significance by two-dimensional echocardiography. J Am Soc Echocardiogr. 1991;4:140–6.

    Article  CAS  Google Scholar 

  11. Figueras J, Barrabés JA, Serra V, Cortadellas J, Lidón RM, Carrizo A, Garcia-Dorado D. Hospital outcome of moderate to severe pericardial effusion complicating ST-elevation acute myocardial infarction. Circulation. 2010;122:1902–9.

    Article  Google Scholar 

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Electronic Supplementary Materials

Transthoracic Echocardiography, apical four-Chamber view, lateral wall pseduaneurysm with small neck after anterolateral MI (AVI 10092 kb)

Transesophageal Echocardiography, mid-esophageal view, Post MI posteromedial papillary muscle rupture resulting flail anterior mitral leaflet and severe acute posterior directed MR (AVI 6067 kb)

Transesophageal Echocardiography, mid-esophageal view, Post MI posteromedial papillary muscle rupture resulting flail anterior mitral leaflet and severe acute posterior directed MR (AVI 4555 kb)

Transesophageal Echocardiography, mid-esophageal view, Post MI posteromedial papillary muscle rupture resulting flail anterior mitral leaflet and severe acute posterior directed MR (AVI 4891 kb)

Transesophageal Echocardiography, mid-esophageal view, Post MI posteromedial papillary muscle rupture resulting flail anterior mitral leaflet and severe acute posterior directed MR (AVI 3117 kb)

Transthoracic Echocardiography, apical five-Chamber view, Post MI VSD (AVI 16341 kb)

Transthoracic Echocardiography, apical five-Chamber view, Post MI VSD (AVI 17557 kb)

Transthoracic Echocardiography, apical four-Chamber view, Fresh, Immobile LV apical fresh clot with concomitant showing in apical short axis view (AVI 11444 kb)

Transthoracic Echocardiography, apical four-Chamber view, Fresh, Immobile LV apical fresh clot with concomitant showing in apical short axis view (AVI 12860 kb)

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Alizadehasl, A., Sadeghpour, A. (2018). Echocardiography in Coronary Artery Disease and Acute Myocardial Infarction. In: Sadeghpour, A., Alizadehasl, A. (eds) Case-Based Textbook of Echocardiography. Springer, Cham. https://doi.org/10.1007/978-3-319-67691-3_25

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  • DOI: https://doi.org/10.1007/978-3-319-67691-3_25

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-67689-0

  • Online ISBN: 978-3-319-67691-3

  • eBook Packages: MedicineMedicine (R0)

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