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Ischmic Heart Disease Myocardial Infarction
Содержание
- 1. Ischmic Heart Disease Myocardial Infarction
- 2. Current clinical practice guidelines of the ACC/AHACurr Opin Cardiol 2008;23:613–619
- 3. Acute Coronary SyndromeElectrocardiographic changes are often nonspecific
- 4. Role of Echocardiography in AMIAnatomical, functional and
- 5. Role of Echocardiography in AMI3. Evaluation of
- 6. Wall motion abnormality in AMICompensatory hyperkinesis RWMA
- 7. Acute Myocardial Infarction-LAD
- 8. Acute Myocardial Infarction-LAD
- 9. Acute Myocardial Infarction-LAD
- 10. Acute Myocardial Infarction-LCX
- 11. Acute Myocardial Infarction-LCX
- 12. Acute Myocardial Infarction-LCX
- 13. Acute Myocardial Infarction-RCA
- 14. Acute Myocardial Infarction-RCA
- 15. Complications of Acute Myocardial Infarction Pericardial effusion, LV thrombus, Aneurysm, RV involvement
- 16. Ventricular Septal RuptureHypotension, Systolic murmurVentricular septal defect with left to right shunt by echo
- 17. Acute Myocardial InfarctionPosteroinferior myocardial infarctionContrast echo studyFree
- 18. Acute Myocardial InfarctionAnterior wall myocardial infarctionLarge LV apical thrombus
- 19. Right Ventricular Infarction
- 20. Right Ventricular Infarction
- 21. Dobutamine stress echoLow Dose Dobutamine EchoBaselineSubtotal stenosis of proximal LAD
- 22. Stenting and f/up Echoin 10 months laterLAD stenting
- 23. Patients with Chest Pain
- 24. Acute Pulmonary EmbolismD-shaped LVThrombi
- 25. Hypertrophic CardiomyopathyNo identified disease to cause hypertrophyT-inversion on ECGSevere ventricular hypertrophyNo RWMA
- 26. Acute PericarditisPericardial effusionNo RWMAChest pain, elevated cardiac
- 27. Aortic Dissection
- 28. Tako-tsubo Cardiomyopathy Apical Ballooning SyndromeFirst described in
- 29. Modified Mayo Clinic Criteria of stress induced
- 30. Modified Mayo Clinic Criteria of stress induced
- 31. Stress induced cardiomyopathy
- 32. CAG with F/U echocardiogramFollow up Echocardiogrpahy
- 33. Скачать презентанцию
Current clinical practice guidelines of the ACC/AHACurr Opin Cardiol 2008;23:613–619
Слайды и текст этой презентации
Слайд 3Acute Coronary Syndrome
Electrocardiographic changes are often nonspecific in more than
50% of patients with chest pain.
from symptoms onset to exceed the normal range.
Слайд 4Role of Echocardiography in AMI
Anatomical, functional and hemodynamic information
Diagnosis and
exclusion of AMI in patients with chest pain and non-diagnostic
ECG findingsEstimation of the amount of myocardium at risk and final infarct size after reperfusion therapy
Слайд 5Role of Echocardiography in AMI
3. Evaluation of unstable hemodynamics
4. Detection
of infarct complications
5. Evaluation of myocardial viability
6. Risk stratification
Слайд 6Wall motion abnormality in AMI
Compensatory hyperkinesis
RWMA at other area
: Multi vessel involvement
Wall Motion Score Index
Слайд 15Complications of Acute Myocardial Infarction
Pericardial effusion, LV thrombus, Aneurysm,
RV involvement
Слайд 16Ventricular Septal Rupture
Hypotension, Systolic murmur
Ventricular septal defect with left to
right shunt by echo
Слайд 17Acute Myocardial Infarction
Posteroinferior myocardial infarction
Contrast echo study
Free wall rupture and
pseudoaneurysm was observed.
Contrast echo for pericardial leakage was done.
Слайд 25Hypertrophic Cardiomyopathy
No identified disease to cause hypertrophy
T-inversion on ECG
Severe ventricular
hypertrophy
No RWMA
Слайд 26Acute Pericarditis
Pericardial effusion
No RWMA
Chest pain, elevated cardiac enzymes, and ST
elevation on ECG
Respiratory variation of mitral inflow
High e’ velocity
Слайд 28Tako-tsubo Cardiomyopathy
Apical Ballooning Syndrome
First described in Japan
The ballooning configuration
of the LV is similar to a tako-tsubo (Japanese octopus
trap)
Слайд 29Modified Mayo Clinic Criteria
of stress induced cardiomyopathy
transient hypokinesis, akinesis,
or dyskinesis in the LV
mid segments
with or without apical involvement; RWMAthat extend beyond a single epicardial vascular
distribution; and frequently, but not always, a stressful
trigger
(2) the absence of obstructive coronary disease or
angiographic evidence of acute plaque rupture
Слайд 30Modified Mayo Clinic Criteria
of stress induced cardiomyopathy
(3) new ECG abnormalities
(ST-segment elevation and/or
T-wave inversion) or modest
elevation in cardiac troponin(4) the absence of pheochromocytoma and myocarditis
***Patients were assigned this diagnosis when they satisfied all these criteria.
