Document Detail

Role of contrast echocardiography in the assessment of myocardial rupture.
MedLine Citation:
PMID:  12848703     Owner:  NLM     Status:  MEDLINE    
Left ventricular free wall rupture is known to complicate acute myocardial infarction and is the second most common cause of inhospital mortality in this patient population. Contrary to widely held medical belief, this does not always result in immediate fatal pericardial tamponade with hemodynamic collapse. Up to 40% of such occurrences are subacute and may evolve over hours or even days. A high index of suspicion and accurate diagnostic tests are required to identify and treat these patients with emergent surgery. Echocardiography has emerged as an important diagnostic modality to identify this catastrophic condition. Although the literature has scattered reports on the role of transesophageal and transthoracic echocardiography in diagnosing free wall rupture, to date, only one report in the literature used ultrasound contrast agents to better delineate echocardiographic findings. We will present two cases in which echocardiography with use of intravenous ultrasound contrast agents was instrumental in helping to exclude rupture in one case and help identify rupture in another.
Sumit Mittle; Amgad N Makaryus; Judy Mangion
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Echocardiography (Mount Kisco, N.Y.)     Volume:  20     ISSN:  0742-2822     ISO Abbreviation:  Echocardiography     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2003-07-09     Completed Date:  2003-07-29     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8511187     Medline TA:  Echocardiography     Country:  United States    
Other Details:
Languages:  eng     Pagination:  77-81     Citation Subset:  IM    
North Shore University Hospital, Manhasset, New York 11030, USA.
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MeSH Terms
Albumins / diagnostic use*
Contrast Media
Fluorocarbons / diagnostic use*
Heart Rupture, Post-Infarction / ultrasonography*
Middle Aged
Reg. No./Substance:
0/Albumins; 0/Contrast Media; 0/FS 069; 0/Fluorocarbons

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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