Strain Echocardiography Immediately Before Acute Left Ventricular Rupture Following Anterior Wall Myocardial Infarction

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Paulina Wejner-Mik ◽  
Piotr Lipiec ◽  
Ewa Szymczyk ◽  
Jaroslaw D Kasprzak
2011 ◽  
Vol 33 (2) ◽  
pp. 206-208
Author(s):  
Natale Daniele Brunetti ◽  
Riccardo Ieva ◽  
Michele Correale ◽  
Luigi Flavio Massimiliano Di Martino ◽  
Luisa De Gennaro ◽  
...  

Diagnostics ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 525
Author(s):  
Paweł Gać ◽  
Piotr Macek ◽  
Andrzej Szczepański ◽  
Rafał Poręba

Rupture of the free wall of the left ventricle, rupture of the interventricular septum and acute mitral regurgitation are mechanical complications of myocardial infarction. They are rare; left ventricular rupture occurs in about 2–4% of patients with myocardial infarction. We present the case of an 85-year-old woman with an anterior wall infarction complicated by left ventricular rupture. We present diagnostic images of pathology visualized by computed tomography angiography, performed in order to exclude aortic dissection as the cause of the presence of fluid in the pericardial sac. Images from ventriculography are also presented. Summing up, during the diagnostic and therapeutic process of acute coronary syndrome, it is important to bear in mind the risk of possible complications, such as left ventricular rupture.


2021 ◽  
Vol 12 (6) ◽  
pp. 251-255
Author(s):  
Sabu John ◽  
Sudhanva Hegde ◽  
Syed Hussain ◽  
Inna Bukharovich ◽  
Suzette Graham-Hill ◽  
...  

2017 ◽  
Vol 11 ◽  
pp. 117954681774663
Author(s):  
Srilakshmi M Adhyapak ◽  
Prahlad G Menon ◽  
Kiron Varghese ◽  
Abhinav Mehra ◽  
SB Lohitashwa ◽  
...  

Background: Late revascularization following a myocardial infarction has questionable clinical benefit. Methods: We studied 13 patients with anterior wall myocardial infarction who underwent percutaneous coronary intervention within 2 weeks of the primary event, by quantitative analysis of 2-dimensional echocardiographic images. Endocardial segmentations of the left ventricular (LV) endocardium from the 4-chamber views were studied over time to establish cumulative wall displacements (CWDs) throughout the cardiac cycle. Results: Left ventricular end-systolic volume decreased to 42 ± 8 mL/body surface area ( P = .034) and LV ejection fraction improved to 52% ± 7% ( P = .04). Analysis of LV endocardial CWD demonstrated significant improvements in mid-systolic to late-systolic phases in the apical LV segments, from 3.5 ± 0.32 to 5.89 ± 0.43 mm ( P = .019). Improvements in CWD were also observed in the late-diastolic phase of the cardiac cycle, from 1.50 ± 0.42 to 1.76 ± 0.52 mm ( P = .04). Conclusions: In our pilot patient cohort, following late establishment of infarct-related artery patency following an anterior wall myocardial infarction, regional improvements were noted in the LV apical segments during systole and late diastole.


2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Param Vidwan ◽  
George A. Stouffer

Pulsus alternans is a rare hemodynamic condition characterized by beat-to-beat variability in systolic pressure. It is attributed to variations in stroke volume with alternate cardiac cycles and is typically seen in patients with advanced myopathic conditions. Left ventricular pulsus alternans is rare, and right ventricular pulsus alternans is even less common. There are only a few reports of biventricular pulsus alternans. We report the case of a 62-year-old female with a recent anterior wall myocardial infarction who had biventricular pulsus alternans at the time of cardiac catheterization.


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