Use of contrast echocardiography in the diagnosis of subacute myocardial rupture after myocardial infarction.
J Am Soc Echocardiogr
; 14(9): 945-7, 2001 Sep.
Article
in En
| MEDLINE
| ID: mdl-11547284
ABSTRACT
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.
Search on Google
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Heart Rupture, Post-Infarction
/
Echocardiography, Doppler
/
Contrast Media
/
Albumins
/
Fluorocarbons
Type of study:
Diagnostic_studies
/
Etiology_studies
Limits:
Aged
/
Female
/
Humans
Language:
En
Journal:
J Am Soc Echocardiogr
Journal subject:
DIAGNOSTICO POR IMAGEM
Year:
2001
Document type:
Article
Affiliation country:
España