The role of echocardiography in acute myocardial infarction

Alizadehasl, Azin; Sadeghpour, Anita; Behjati, Mohaddeseh

doi:10.1016/j.ihj.2017.06.018

Cited by 5 publications

(4 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recent studies have demonstrated a decline in acute and long-term mortality after STEMI in parallel with increased utilization of reperfusion therapy, involving PCI [8]. Notably, primary PCI in STEMI patients can decrease the size of infarct and preserves LV systolic function [9].…”

Section: Discussionmentioning

confidence: 99%

Predictors of Left Ventricular Dysfunction after Percutaneous Primary Coronary Intervention in Acute Anterior Myocardial Infarction

Darwesh

Ibrahim

Allah

et al. 2022

View full text Add to dashboard Cite

Background: Primary percutaneous coronary intervention (PCI) has revolutionized the outcome and management of acute myocardial infarction. However, the occurrence of left ventricular dysfunction remains relatively common event following acute myocardial infarction and in associated with an adverse prognosis in these patients. this work aimed to investigate to the left ventricular dysfunction predictors following PCI for anterior myocardial infarction (AMI) using different parameters: Tissue Doppler imaging (TDI), Biomarkers (Troponin, CK-MB) and Echocardiography Methods: This research was conducted prospectively on 50 patients aged from 40 to 70 years old, presenting by first anterior myocardial infarction and treated with PCI. All cases were subjected to full history, full clinical examination, laboratory investigations, resting 12 leads electrocardiography, two dimensions echocardiography and tissue doppler imaging. Results: Highly statistically significant between EF baseline with EF on discharge and EF on discharge with after 3 months p-value was <0.001. Pre balloon dilatation, S wave of tissue Doppler imaging on discharge and S wave tissue Doppler imaging after 3 months were predictors for left ventricular systolic function. Conclusions: Persistent LV dysfunction following successful primary PCI is infrequent and is related to poor clinical outcomes at 3 months clinical follow-up. Tissue Doppler on discharge and after three months after myocardial infarction are independent predictors of LV dysfunction after anterior STEMI and can be used to predict occurrence of LV remodelling after 6 months.

show abstract

Section: Discussionmentioning

confidence: 99%

Predictors of Left Ventricular Dysfunction after Percutaneous Primary Coronary Intervention in Acute Anterior Myocardial Infarction

Darwesh

Ibrahim

Allah

et al. 2022

View full text Add to dashboard Cite

show abstract

“…2d electrocardiography is applied to assess wall motion abnormalities, patient's vascular status, risk stratification, extent of infarction. Doppler electrocardiography provides the information on the status of hemodynamic functions which gives huge therapeutic implications [9]. In this study we have assessed the efficacy of ticagrelor and clopidogrel, on the patients suffering with myocardial infarction.…”

Section: Discussionmentioning

confidence: 99%

Assessment of efficacy of ticagrelor versus clopidogrel in the treatment of myocardial infarction by 2D echocardiography

Souza¹,

Muthyala²,

Myaka³

et al. 2020

GSC Biol. and Pharm. Sci.

View full text Add to dashboard Cite

Myocardial infarction (MI) is the irreversible death of heart muscle due to prolonged lack of supply of oxygen resulting in decreased coronary blood flow and if untreated may lead to myocardial damage. Myocardial infarction may be due to several causes viz., coronary occlusion, ventricular hypertrophy, coronary artery emboli or coronary trauma. Drugs used for the treatment of MI includes vasodilators to dilate the arteries and veins, antiarrythmics, thrombolytics to dissolve clots, anti-thrombolytics to prevent thrombus formation, anti-platelet drugs, analgesics to reduce pain, cardiac depressants to control heart rate and contractions. Present study was undertaken to evaluate the efficacy of Ticagrelor v/s Clopidogrel the antiplatelet drugs indicated in patients to reduce the risk of myocardial infarction. Both the drugs act by preventing the formation of platelet clots and helps in the smooth flow of blood. Assessment of results was carried out by 2d Echo test to evaluate the efficacy of the treatment. Treatment with ticagrelor showed improved efficacy and safety by improving the ejection fraction, reducing the rate of stroke, reducing vascular abnormalities, showing no bleeding problems. No death is observed due to vascular problems in both the treatment. Ticagrelor revealed considerable recovery rate compared to clopidogrel. Study reports revealed that ticagrelorisefficient thanclopidogrel in the treatment of MI and is a better choice over clopidogrel to treat MI.

show abstract

“…Another study highlighted significant disagreement among physicians in interpreting ECGs with STEMI characteristics, questioning their suitability as standalone diagnostic tests for STEMI. Conversely, performing a “focused” echocardiographic scan on all patients arriving to the cath lab for STEMI could greatly enhance the sensitivity and specificity of the diagnosis, identify alternative life-threatening pathologies requiring different rapid interventions, and better frame the type of STEMI and associated complications, preparing for the most appropriate intervention [ 13 ]. Liu et al demonstrated that cases of acute aortic dissection with ST-Elevation Acute Coronary Syndrome (STE-ACS) resulted in significantly lower mortality compared to cases where such examination was delayed, leading to unnecessary and potentially harmful treatments [ 14 ].…”

Section: The Optimal Management Of Patients Rushed To the Cardiac Cat...mentioning

confidence: 99%

Enhancing ST-Elevation Myocardial Infarction Diagnosis and Management: The Integral Role of Echocardiography in Patients Rushed to the Cardiac Catheterization Laboratory

Marrazzo,

Palermi,

Pastore

et al. 2024

JCM

View full text Add to dashboard Cite

Coronary artery disease (CAD) remains a significant global health concern, necessitating timely and precise diagnosis, especially for acute coronary syndromes (ACSs). Traditional diagnostic methods like electrocardiograms (ECGs) are critical, yet the advent of echocardiography has revolutionized cardiac care by providing comprehensive insights into heart function. This article examines the integration of echocardiography in the cardiac catheterization laboratory, emphasizing its role in augmenting traditional diagnostics, enhancing patient outcomes, and preparing for targeted interventions. Specifically, we argue for the routine use of focused echocardiographic evaluations in patients presenting with ST-Elevation Myocardial Infarction (STEMI) to the cath lab, illustrating how this practice can significantly refine diagnostic accuracy, identify concurrent life-threatening conditions, and inform the management of STEMI and its complications.

show abstract

The role of echocardiography in acute myocardial infarction

Cited by 5 publications

References 6 publications

Predictors of Left Ventricular Dysfunction after Percutaneous Primary Coronary Intervention in Acute Anterior Myocardial Infarction

Predictors of Left Ventricular Dysfunction after Percutaneous Primary Coronary Intervention in Acute Anterior Myocardial Infarction

Assessment of efficacy of ticagrelor versus clopidogrel in the treatment of myocardial infarction by 2D echocardiography

Enhancing ST-Elevation Myocardial Infarction Diagnosis and Management: The Integral Role of Echocardiography in Patients Rushed to the Cardiac Catheterization Laboratory

Contact Info

Product

Resources

About