Document Detail

Use of contrast echocardiography in the diagnosis of subacute myocardial rupture after myocardial infarction.
MedLine Citation:
PMID:  11547284     Owner:  NLM     Status:  MEDLINE    
Myocardial rupture is an uncommon and catastrophic complication after acute myocardial infarction. It can present in an acute form or in a subacute form, with slower hemorrhage and thrombus formation at the site of rupture. These patients can survive several hours or days before the diagnosis is confirmed and the myocardial ruptured repaired. Two-dimensional Doppler echocardiography is very useful in the diagnosis of this complication, but the number of false-positive diagnoses is high, even in the presence of a large amount of pericardial effusion. In these patients, administration of a contrast agent can be useful to demonstrate active bleeding into the pericardium. We report a case of subacute myocardial rupture for which contrast echocardiography was useful in demonstrating the presence of persistent hemorrhage into the pericardium. To reduce the number of false-positive diagnoses, contrast echocardiography should be considered in patients with possible subacute myocardial rupture.
M A García-Fernández; R O Macchioli; P M Moreno; M M Yangüela; J B Thomas; J L Sendón; E Lopez de Sa; Y H Abdou
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  14     ISSN:  0894-7317     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-09-07     Completed Date:  2001-12-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  945-7     Citation Subset:  IM    
Laboratory of Echocardiography, Department of Cardiology, Hospital General Universitario "Gregorio Marañón," Madrid, Spain.
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MeSH Terms
Albumins / diagnostic use*
Contrast Media*
Echocardiography, Doppler / methods*
Echocardiography, Transesophageal
Fluorocarbons / diagnostic use*
Heart Rupture, Post-Infarction / ultrasonography*
Hypotension / etiology
Myocardial Infarction / complications
Reg. No./Substance:
0/Albumins; 0/Contrast Media; 0/FS 069; 0/Fluorocarbons

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