Skip to main content

Chronic Complications of Acute Myocardial Infarction

  • Chapter
  • First Online:
Echocardiography in Acute Coronary Syndrome

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Friedman BM, Dunn MI. Postinfarction ventricular aneurysms. Clin Cardiol. 1995;18(9):505–511.

    Article  PubMed  CAS  Google Scholar 

  2. Glower DG, Lowe EL. Left ventricular aneurysm. In: Edmunds LH, ed. Cardiac Surgery in the Adult. New York, NY: McGraw-Hill; 1997:677.

    Google Scholar 

  3. 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.

    Article  PubMed  CAS  Google Scholar 

  4. Feigenbaum H, Armstrong WF, Ryan T. Feigenbaum’s Echocardiography. Philadelphia, PA: Lipincott Williams and Wilkins; 2005:469–473.

    Google Scholar 

  5. Nicolosi AC, Spotnitz HM. Quantitative analysis of regional systolic function with left ventricular aneurysm. Circulation. 1988;78:856.

    Article  PubMed  CAS  Google Scholar 

  6. 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.

    Article  PubMed  CAS  Google Scholar 

  7. Konen E, Merchant N, Gutierrez C, et al. True versus false left ventricular aneurysm: differentiation with MR imaging – initial experience. Radiology. 2005;236:65.

    Article  PubMed  Google Scholar 

  8. Vlodaver Z, Coe JL, Edwards JE. True and false left ventricular aneurysms: propensity for the latter to rupture. Circulation. 1975;51:567.

    PubMed  CAS  Google Scholar 

  9. Dubnow MH, Burchell HB, Titus JL. Postinfarction ventricular aneurysm. a clinicomorphologic and electrocardiographic study of 80 cases. Am Heart J. 1965;70:753.

    Article  PubMed  CAS  Google Scholar 

  10. 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.

    Article  PubMed  CAS  Google Scholar 

  11. 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

  12. Rao G, Zikria EA, Miller WH, et al. Experience with sixty consecutive ventricular aneurysm resections. Circulation, 1974;50:II149.

    PubMed  CAS  Google Scholar 

  13. 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.

    Article  PubMed  Google Scholar 

  14. 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.

    Article  PubMed  CAS  Google Scholar 

  15. 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.

    Article  PubMed  CAS  Google Scholar 

  16. Frances C, Romero A, Grady D. Left ventricular pseudoaneurysm. J Am Coll Cardiol. 1998;32:557.

    Article  PubMed  CAS  Google Scholar 

  17. Dachman AH, Spindola-Franco H, Solomon N. Left ventricular pseudoaneurysm: its recognition and significance. JAMA. 1981;246:1951.

    Article  PubMed  CAS  Google Scholar 

  18. Yeo TC, Malouf JF, Oh JK, Seward JB. Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm. Ann Intern Med. 1998;128:299.

    PubMed  CAS  Google Scholar 

  19. 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.

    PubMed  CAS  Google Scholar 

  20. 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.

    Article  Google Scholar 

  21. 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.

    Article  PubMed  CAS  Google Scholar 

  22. 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.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sandeep Joshi .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer-Verlag London Limited

About this chapter

Cite this chapter

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

Download citation

  • DOI: https://doi.org/10.1007/978-1-84882-027-2_21

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-026-5

  • Online ISBN: 978-1-84882-027-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics