Contrast echocardiography in the diagnosis of myocardial stunning
- PMID: 10626087
- PMCID: PMC6655325
- DOI: 10.1002/clc.4960221214
Contrast echocardiography in the diagnosis of myocardial stunning
Abstract
The identification of viable myocardium within dysfunctional myocardium has important clinical implications. By using a microvascular tracer, myocardial contrast echocardiography may have the potential for prediction of myocardial viability in the acute and subacute phases of myocardial infarction. In the case presented, the normal myocardial perfusion observed after intravenous injection of the contrast agent, combined with severe wall motion abnormality following prolonged chest pain, suggested myocardial stunning. This was confirmed by normal coronary angiography and by restoration of normal left ventricular function at 1-month follow-up echocardiography.
Similar articles
-
Usefulness of power Doppler contrast echocardiography to identify reperfusion after acute myocardial infarction.Am J Cardiol. 2001 Feb 1;87(3):278-82. doi: 10.1016/s0002-9149(00)01358-8. Am J Cardiol. 2001. PMID: 11165960
-
The use of myocardial contrast echocardiography in the assessment of left ventricular function recovery after primary percutaneous coronary intervention in the setting of acute myocardial infarction.Kardiol Pol. 2006 Jul;64(7):713-21; discussion 722-3. Kardiol Pol. 2006. PMID: 16886128
-
Full-motion pulse inversion power Doppler contrast echocardiography differentiates stunning from necrosis and predicts recovery of left ventricular function after acute myocardial infarction.J Am Coll Cardiol. 2001 Nov 1;38(5):1390-4. doi: 10.1016/s0735-1097(01)01574-1. J Am Coll Cardiol. 2001. PMID: 11691513
-
Dobutamine echocardiography and myocardial contrast echocardiography. Two new techniques for the assessment of myocardial viability.Tex Heart Inst J. 1995;22(1):33-9. Tex Heart Inst J. 1995. PMID: 7787468 Free PMC article. Review.
-
Evaluation of myocardial viability with contrast echocardiography.Am J Cardiol. 2002 Nov 18;90(10A):65J-71J. doi: 10.1016/s0002-9149(02)02950-8. Am J Cardiol. 2002. PMID: 12450593 Review.
References
-
- Iliceto S, Marangelli V, Marchase A, Amico A, Galiuto L, Rizzon P: Myocardial contrast echocardiography in acute myocardial infarction. Pathophysiological background and clinical applications. Eur Heart J 1996; 17: 344–353 - PubMed
-
- Kaul S: Myocardial contrast echocardiography in coronary artery disease: Potential applications using venous injections of contrast. Am J Cardiol 1995; 75: 61D–68D - PubMed
-
- Bax JJ, van Eck‐Smit BLF, van der Wall EE: Assessment of tissue viability: Clinical demand and problems. Eur Heart J 1998: 19: 847–858 - PubMed
-
- Ragosta M, Camarano G, Kaul S, Powers ER, Sarembock IJ, Gimple LW: Microvascular integrity indicates myocellular viability in patients with recent myocardial infarction. Circulation 1994; 89: 2562–2569 - PubMed
-
- Kloner RA, Rude RE, Carlson N, Maroko PR, DeBoer LW, Braunwald E: Ultrastructural evidence of microvascular damage and myocardial cell injury after coronary artery occlusion: Which comes first? Circulation 1980; 62: 945–952 - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical