Echocardiographic assessment of left ventricular function in patients of acute myocardial infarction

Authors

  • Anjali V. Shivpuje Department of General Medicine, Ashwini Rural Medical College, Hospital and Research Centre, Kumbhari, Solapur, Maharashtra, India
  • Shrikant Page Department of General Medicine, Ashwini Rural Medical College, Hospital and Research Centre, Kumbhari, Solapur, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20173070

Keywords:

AMI, Echocardiography, LV function, Wall motion abnormality

Abstract

Background:2D Echo can evaluate LV anatomy, function and diagnose post AMI complications in early stages, thus help in management and determining the prognosis. The present study was undertaken to evaluate LV function in patient following AMI and also to find out the incidence of various echocardiographically detectable complications of following AMI.

Methods: The present study was conducted on patients visiting our tertiary health centre during study duration. 50 patients were included in the study. Patients with prior history of acute myocardial infarction, pericarditis and early repolarisation syndrome, and primary myocardial disease diagnosed by serum enzyme levels were not included in the study. Patients were classified as per Killip classification and 2D echo study was performed in all patients.

Results: Maximum incidence of AMI was found in 51-60 years of age, with male predominance (64%). Anterior wall AMI (58%) was more common. 94% of patients had wall motion abnormalities. Incidence of LV thrombus was found to be 24%. In present study, as the extent and severity of wall motion abnormalities increased, the incidence of LV thrombus also increased. Thus, 2DE study of LV regional wall motion can predict the incidence of LV thrombus.

Conclusions: The echocardiographic assessment of LV function in patients of AMI is important as, it detects the regional wall motion abnormality, LVEF and also the complications like LV thrombus, pericardial effusion and LV aneurysm. These observations are of great value in the management of AMI.

 

References

Harrison's, Principles of internal medicine, New York, McGraw-Hill, Medical publishing division, 15th edition, 2001;1:1386.

Ebina T. Ultrasonic Cardiotomogram. Jap Heart J. 1967;8:331.

White HD, Norris RM, Brown MA, Brandt PWT, Whitlock RML, Wild CJ. Left ventricular endsystolic volume as the major determinant of survival after recovery from myocardial infarction. Circulation. 1987;76:44-51.

Cohn JN, Ferrari R, Sharpe N. Cardiac remodelingconcepts and clinical implications: a consensus paper from an international forum on cardiac remodeling. Behalf of an international forum on cardiac remodeling. J Am Coll Cardiol. 2000;35:569-82.

Solomon SD, Anavekar NS, Greaves S, Rouleau JL, Hennekens C, Pfeffer MA. Angina pectoris prior tomyocardial infarction protects against subsequentleft ventricular re-modeling. J Am Coll Cardiol. 2004;43(9):1511-4.

Braunwald Heart Disease: Textbook of Cardiovascular Medicine-Fourth Edition. Philadelphia, W. B. Saunders Company; 1992:1200-91.

Jullian DG, Valentine PA, Miller GG. Disturbances of rate, rhythm and conduction in acute myocardial infarction. Am J Med. 1964;37:915-27.

Learner, Kannel. Patterns of coronary heart disease morbidity and mortality in the sexes- a 26 year follow up of Framingham study. Am Heart J. 1986;111:383-90.

Jitendra K, Mrunal P, Neelima C. Role of early 2D Echocardiography in patient with acute myocardial infarction in correlation with electrocardiography and clinical presentation. MVP J Med Sci. 2014;1(2):51-5.

Shah JR, Talwarkar SVJ. Prognosis of acute myocardial infarction. Asso Phys Ind. 1965;11:831-6.

Jewitt DE. Incidence and management of Supraventricular arrhythmias after acute myocardial infarction. Lancet. 1967;2:734-8.

Weiss JL, Bulkley BH, Hutchins GM, Mason SJ. Two-dimensional echocardiographic recognition of myocardial injury in man: Comparison with post mortem studies. Circulat. 1981;63(2):401-8.

Vissere CA, Kan G, Meltzer RS, Lie KI, Durrer D. Long term follow up of LV thrombus after AMI. Chest. 1984;86(4):532-6.

Lamas, Vaughan, Pfeffer. Left ventricular thrombus formation after first anterior wall AMI. AM J Cardiol, 1988;62:31-5.

Gaudron P, Eilles C, Kugler I, Ertl G. Progressive left ventricular dysfunction and remodeling after myocardial infarction. Circulat. 1993;87:755-63.

Weckers FJ, Berger HJ, Weinberg MA, Zaret BL. Spontaneous changes in LVEF in AMI. Circulat. 1982;66(4):748-54.

Downloads

Published

2017-07-20

Issue

Section

Original Research Articles