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The Mechanical Complications of Acute Myocardial Infarction

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Echocardiography in Coronary Artery Disease

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 80))

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Abstract

Two-dimensional echocardiography allows the diagnosis of acute myocardial infarction and its rapid differentiation from other causes of severe chest pain such as dissecting aneurysm or pericarditis. It provides direct information about the localization and extent of the infarcted myocardium and the function of the noninfarcted myocardium. The advantages in such a situation are rapid and complete assessment, bedside application, safety, and serial follow-up examination. An echocardiogram made in the first hours after the acute event is often predictive for subsequent complications. Whenever clinical deterioration occurs in a patient with recent myocardial infarction, two-dimensional echocardiography should be performed since mechanical complications such as rupture of the free wall, the ventricular septum, or the papillary muscle are readily diagnosed and early diagnosis is important for successful surgical treatment.

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© 1988 Kluwer Academic Publishers. Boston/Dordrecht/Lancaster

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Assmann, P.E., Roelandt, J.R.T.C. (1988). The Mechanical Complications of Acute Myocardial Infarction. In: Visser, C.A., Kan, G., Meltzer, R.S. (eds) Echocardiography in Coronary Artery Disease. Developments in Cardiovascular Medicine, vol 80. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1767-8_12

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  • DOI: https://doi.org/10.1007/978-1-4613-1767-8_12

  • Publisher Name: Springer, Boston, MA

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