Key result
In patients with acute myocardial infarction, 2D echocardiography detected wall motion abnormalities in 94% and left ventricular thrombus in 24%, with thrombus incidence increasing alongside the severity of wall motion abnormalities.
Observational (n=50)
No
2D echocardiography is a valuable bedside tool for the early detection of regional wall motion abnormalities, reduced LVEF, and complications like LV thrombus in patients with acute myocardial infarction, which correlate with increased mortality.
Supports echo screening for LV thrombus in AMI; observational data leave open prospective validation of severity link before practice change.
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.
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Shivpuje et al. (2017) conducted an observational in Acute myocardial infarction (n=50). Acute myocardial infarction was evaluated on Incidence of wall motion abnormalities and left ventricular thrombus. In patients with acute myocardial infarction, 2D echocardiography detected wall motion abnormalities in 94% and left ventricular thrombus in 24%, with thrombus incidence increasing alongside the severity of wall motion abnormalities.
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