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Assessment of myocardial viability post-infarction with myocardial contrast echocardiography

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Advances in Echo Imaging Using Contrast Enhancement

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Abstract

In a patient with acute myocardial infarction, clinical, electrocardiographic and angiographic information may be inadequate for determining the presence of viable tissue. If wall thickening is present, the myocardium is viable; if wall thickening is absent, the myocardium may or may not be viable [1]. The basis for the underlying myocardial dysfunction may be multifactorial in a single patient or even in a single myocardial segment. Myocardial contrast echocardiography (MCE) can define regions of viability within the infarct zone based on its ability to demonstrate the spatial distribution of microvascular perfusion [2]. The magnitude and spatial extent of microvascular perfusion within the infarct zone is the predominant determinant of the extent of myocellular viability.

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Authors
  1. Christian Firschke
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  2. Sanjiv Kaul
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Editor information

Editors and Affiliations

  1. University of Alabama at Birmingham, Birmingham, Alabama, USA

    Navin C. Nanda MD (Professor of Medicine and Director, Heart Station/Echocardiography Laboratories) (Professor of Medicine and Director, Heart Station/Echocardiography Laboratories)

  2. The Kirklin Clinic, University of Alabama at Birmingham, Birmingham, Alabama, USA

    Navin C. Nanda MD (Professor of Medicine and Director, Heart Station/Echocardiography Laboratories) (Professor of Medicine and Director, Heart Station/Echocardiography Laboratories)

  3. Clinical Development Diagnostics of Schering AG, Berlin, Germany

    Reinhard Schlief Dr Med Dipl Phys (Head of Magnetic Resonance and Ultrasound Contrast Media) (Head of Magnetic Resonance and Ultrasound Contrast Media)

  4. Department of Radiology, Thomas Jefferson University, Philadelphia, USA

    Barry B. Goldberg MD (Professor of Radiology and Director) (Professor of Radiology and Director)

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© 1997 Springer Science+Business Media Dordrecht

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Firschke, C., Kaul, S. (1997). Assessment of myocardial viability post-infarction with myocardial contrast echocardiography. In: Nanda, N.C., Schlief, R., Goldberg, B.B. (eds) Advances in Echo Imaging Using Contrast Enhancement. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-5704-9_25

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  • DOI: https://doi.org/10.1007/978-94-011-5704-9_25

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6405-7

  • Online ISBN: 978-94-011-5704-9

  • eBook Packages: Springer Book Archive

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