Acute myocardial infarction (AMI) affects 1.7 million individuals within the United States annually and is an inevitable fatal in 25% of these patients and thus is one of the leading causes of sudden cardiac death (SCD). Among those who survive the immediate effects of an AMI, long-term complications can occur following the event, which may manifest within the acute-phase period or weeks following the infarction. These entities can be readily diagnosed via echocardiography, the gold standard, for imaging cardiac structures. Acute complications have been discussed in a previous chapter. This chapter will discuss the chronic complications of an AMI, which include ventricular aneurysm, ventricular pseudoaneurysm, left ventricular thrombus formation, and infarct expansion/cardiac remodeling.
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References
Friedman BM, Dunn MI. Postinfarction ventricular aneurysms. Clin Cardiol. 1995;18(9):505–511.
Glower DG, Lowe EL. Left ventricular aneurysm. In: Edmunds LH, ed. Cardiac Surgery in the Adult. New York, NY: McGraw-Hill; 1997:677.
Tikiz H, Balbay Y, Atak R, Terzi T, Genç Y, Kütük E. The effect of thrombolytic therapy on left ventricular aneurysm formation in acute myocardial infarction: relationship to successful reperfusion and vessel patency. Clin Cardiol. 2001;24:656.
Feigenbaum H, Armstrong WF, Ryan T. Feigenbaum’s Echocardiography. Philadelphia, PA: Lipincott Williams and Wilkins; 2005:469–473.
Nicolosi AC, Spotnitz HM. Quantitative analysis of regional systolic function with left ventricular aneurysm. Circulation. 1988;78:856.
Matsumoto M, Watanabe F, Goto A, et al. Left ventricular aneurysm and the prediction of left ventricular enlargement studied by two-dimensional echocardiography: quantitative assessment of aneurysm size in relation to clinical course. Circulation. 1985;72:280.
Konen E, Merchant N, Gutierrez C, et al. True versus false left ventricular aneurysm: differentiation with MR imaging – initial experience. Radiology. 2005;236:65.
Vlodaver Z, Coe JL, Edwards JE. True and false left ventricular aneurysms: propensity for the latter to rupture. Circulation. 1975;51:567.
Dubnow MH, Burchell HB, Titus JL. Postinfarction ventricular aneurysm. a clinicomorphologic and electrocardiographic study of 80 cases. Am Heart J. 1965;70:753.
Faxon DP, Ryan TJ, Davis KB, et al. Prognostic significance of angiographically documented left ventricular aneurysm from the Coronary Artery Surgery Study (CASS). Am J Cardiol. 1982;50:157.
Antman EM, Anbe DT, Armstrong PW, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction. Available at: www.acc.org/qualityandscience/clinical/statements.htm
Rao G, Zikria EA, Miller WH, et al. Experience with sixty consecutive ventricular aneurysm resections. Circulation, 1974;50:II149.
Antunes PE, Silva R, Ferrão de Oliveira J, et al. Left ventricular aneurysms: early and long-term results of two types of repair. Eur J Cardiothorac Surg. 2005;27(2):210–215.
Shapira OM, Davidoff R, Hilkert RJ, et al. Repair of left ventricular aneurysm: long-term results of linear repair versus endoaneurysmorrhaphy. Ann Thorac Surg. 1997;63:701.
Waldo AL, Arciniegas JG, Klein H. Surgical treatment of life-threatening ventricular arrhythmias: the role of intraoperative mapping and consideration of the presently available surgical techniques. Prog Cardiovasc Dis. 1981;23:247.
Frances C, Romero A, Grady D. Left ventricular pseudoaneurysm. J Am Coll Cardiol. 1998;32:557.
Dachman AH, Spindola-Franco H, Solomon N. Left ventricular pseudoaneurysm: its recognition and significance. JAMA. 1981;246:1951.
Yeo TC, Malouf JF, Oh JK, Seward JB. Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm. Ann Intern Med. 1998;128:299.
Reeder GS, Lengyel M, Tajik AJ, et al. Mural thrombus in left ventricular aneurysm: incidence, role of angiography, and relation between anticoagulation and embolization. Mayo Clin Proc. 1981;56:77.
Popes BA, Antonini-Canterin F, Temporelli PL and the GISSI-3 Echo Substudy Investigators. Right ventricular functional recovery after acute myocardial infarction: relation with left ventricular function and interventricular septum motion. GISSI-3 echo substudy. Heart. 2005;91(4):484–488.
Cohn JN, Tognoni G, and the Valsartan Heart Failure Trial Investigators. A randomized trial of the angiotensin-receptor blocker valsartan in chronic heart failure. N. Engl. J. Med. 2001;345(23):1667–1675.
Wong M, Staszewsky L, Latini R, and the Val-HeFT Heart Failure Trial Investigators. Valsartan benefits left ventricular structure and function in heart failure: Val-HeFT echocardiographic study. J Am Coll Cardiol. 2002;40(5):970–975.
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Joshi, S., Janis, G., Herzog, E. (2009). Chronic Complications of Acute Myocardial Infarction. In: Herzog, E., Chaudhry, F. (eds) Echocardiography in Acute Coronary Syndrome. Springer, London. https://doi.org/10.1007/978-1-84882-027-2_21
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