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Echocardiography in the Recognition and Management of Mechanical Complications of Acute Myocardial Infarction

  • 25-03-2024
  • Echocardiography
  • Echocardiography (JM Gardin and AH Waller, Section Editors)
Published in:

Abstract

Purpose of Review

Although rare, the development of mechanical complications following an acute myocardial infarction is associated with a high morbidity and mortality. Here, we review the clinical features, diagnostic strategy, and treatment options for each of the mechanical complications, with a focus on the role of echocardiography.

Recent Findings

The growth of percutaneous structural interventions worldwide has given rise to new non-surgical options for management of mechanical complications. As such, select patients may benefit from a novel use of these established treatment methods.

Summary

A thorough understanding of the two-dimensional, three-dimensional, color Doppler, and spectral Doppler findings for each mechanical complication is essential in recognizing major causes of hemodynamic decompensation after an acute myocardial infarction. Thereafter, echocardiography can aid in the selection and maintenance of mechanical circulatory support and potentially facilitate the use of a percutaneous intervention.
Title
Echocardiography in the Recognition and Management of Mechanical Complications of Acute Myocardial Infarction
Authors
Robert S. Zhang
Richard Ro
Daniel Bamira
Alan Vainrib
Lily Zhang
Ambika C. Nayar
Muhamed Saric
Samuel Bernard
Publication date
25-03-2024
Publisher
Springer US
Published in
Current Cardiology Reports / Issue 5/2024
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-024-02042-5
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Independent Medical Education Grant:
  • Bayer HealthCare Pharmaceuticals Inc.
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Image Credits
Abstract graphic of layered, concentric circular shapes in bright green, pink, blue, and purple on a dark blue background. The rings and segments form a complex radial pattern without text/© Springer Health+ IME