Why the study?
Does two-dimensional echocardiography identify surgically correctable structural defects in patients with a new systolic murmur and congestive heart failure after acute myocardial infarction?
Does two-dimensional echocardiography identify surgically correctable structural defects in patients with a new systolic murmur and congestive heart failure after acute myocardial infarction?
Two-dimensional echocardiography is a useful diagnostic tool for detecting surgically correctable mechanical complications in patients presenting with heart failure and a new systolic murmur post-myocardial infarction.
Echocardiography may detect post-MI mechanical complications; hypothesis-generating case series requiring prospective validation.
The appearance of a new, loud systolic murmur in a patient with congestive heart failure after an acute myocardial infarction suggests a surgically correctable cause of the heart failure. Using two-dimensional echocardiography, we studied 14 patients who presented in this manner. Four patients had rupture of a papillary muscle with a flail mitral valve. All four had surgery; three survived. Five patients had fibrosis of the posteromedial papillary muscle. All five had surgery; three survived. Five patients had a ventricular septal defect. Three of the five had surgery; one survived. Two-dimensional echocardiography is useful in studying patients with a new systolic murmur and congestive heart failure after acute myocardial infarction to detect surgically correctable structural defects.
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Mintz et al. (1981) studied this question.
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