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Published in: Current Cardiology Reports 5/2024

25-03-2024 | Echocardiography | Echocardiography (JM Gardin and AH Waller, Section Editors)

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

Published in: Current Cardiology Reports | Issue 5/2024

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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.
Appendix
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Literature
1.
go back to reference ISIS-2 (Second International Study of Infarct Survival) Collaborative Group. Randomised trial of intravenous streptokinase, oral aspirin, both, or neither among 17,187 cases of suspected acute myocardial infarction. ISIS-2. Lancet. 1988;2(8607):349–60. ISIS-2 (Second International Study of Infarct Survival) Collaborative Group. Randomised trial of intravenous streptokinase, oral aspirin, both, or neither among 17,187 cases of suspected acute myocardial infarction. ISIS-2. Lancet. 1988;2(8607):349–60.
4.
go back to reference • Elbadawi A, Elgendy IY, Mahmoud K, Barakat AF, Mentias A, Mohamed AH, et al. Temporal trends and outcomes of mechanical complications in patients with acute myocardial infarction. JACC Cardiovasc Interv. 2019;12(18):1825–36. https://doi.org/10.1016/j.jcin.2019.04.039. This study examined the latest temporal trends and outcomes of mechanical complications following acute myocardialinfarction utilizing data from the 2003 to 2015 National Inpatient Sample.CrossRefPubMed • Elbadawi A, Elgendy IY, Mahmoud K, Barakat AF, Mentias A, Mohamed AH, et al. Temporal trends and outcomes of mechanical complications in patients with acute myocardial infarction. JACC Cardiovasc Interv. 2019;12(18):1825–36. https://​doi.​org/​10.​1016/​j.​jcin.​2019.​04.​039. This study examined the latest temporal trends and outcomes of mechanical complications following acute myocardialinfarction utilizing data from the 2003 to 2015 National Inpatient Sample.CrossRefPubMed
7.
go back to reference Libby P, Bonow R, Mann D, Tomaselli G, Bhatt D, Solomon S. Braunwald’s heart disease: a textbook of cardiovascular medicine. 12th ed. Philadelphia: Elsevier; 2021. Libby P, Bonow R, Mann D, Tomaselli G, Bhatt D, Solomon S. Braunwald’s heart disease: a textbook of cardiovascular medicine. 12th ed. Philadelphia: Elsevier; 2021.
19.
go back to reference Menon V, Webb JG, Hillis LD, Sleeper LA, Abboud R, Dzavik V, et al. Outcome and profile of ventricular septal rupture with cardiogenic shock after myocardial infarction: a report from the SHOCK Trial Registry. Should we emergently revascularize Occluded Coronaries in cardiogenic shocK? J Am Coll Cardiol. 2000;36(3 Suppl A):1110–6. https://doi.org/10.1016/s0735-1097(00)00878-0.CrossRefPubMed Menon V, Webb JG, Hillis LD, Sleeper LA, Abboud R, Dzavik V, et al. Outcome and profile of ventricular septal rupture with cardiogenic shock after myocardial infarction: a report from the SHOCK Trial Registry. Should we emergently revascularize Occluded Coronaries in cardiogenic shocK? J Am Coll Cardiol. 2000;36(3 Suppl A):1110–6. https://​doi.​org/​10.​1016/​s0735-1097(00)00878-0.CrossRefPubMed
20.
go back to reference Crenshaw BS, Granger CB, Birnbaum Y, Pieper KS, Morris DC, Kleiman NS, et al. Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. GUSTO-I (Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries) Trial Investigators. Circulation. 2000;101(1):27–32. https://doi.org/10.1161/01.cir.101.1.27.CrossRefPubMed Crenshaw BS, Granger CB, Birnbaum Y, Pieper KS, Morris DC, Kleiman NS, et al. Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. GUSTO-I (Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries) Trial Investigators. Circulation. 2000;101(1):27–32. https://​doi.​org/​10.​1161/​01.​cir.​101.​1.​27.CrossRefPubMed
22.
go back to reference Lang RM, Goldstein SA, Kronzon I, Khandheria B, Saric M, Mor-Avi V. ASE’s comprehensive echocardiography. Third edition. ed. Philadelphia, PA: Elsevier, Inc; 2022. Lang RM, Goldstein SA, Kronzon I, Khandheria B, Saric M, Mor-Avi V. ASE’s comprehensive echocardiography. Third edition. ed. Philadelphia, PA: Elsevier, Inc; 2022.
29.
go back to reference •• Damluji AA, van Diepen S, Katz JN, Menon V, Tamis-Holland JE, Bakitas M, et al. Mechanical complications of acute myocardial infarction: a scientific statement from the American Heart Association. Circulation. 2021;144(2):e16–35. https://doi.org/10.1161/CIR.0000000000000985. This comprehensive document provides insights into the epidemiology, clinical characteristics, and management considerations of mechanical complications of acute myocardial infarction, while also identifying current research gaps.CrossRefPubMedPubMedCentral •• Damluji AA, van Diepen S, Katz JN, Menon V, Tamis-Holland JE, Bakitas M, et al. Mechanical complications of acute myocardial infarction: a scientific statement from the American Heart Association. Circulation. 2021;144(2):e16–35. https://​doi.​org/​10.​1161/​CIR.​0000000000000985​. This comprehensive document provides insights into the epidemiology, clinical characteristics, and management considerations of mechanical complications of acute myocardial infarction, while also identifying current research gaps.CrossRefPubMedPubMedCentral
37.
go back to reference Antman EM, Anbe DT, Armstrong PW, Bates ER, Green LA, Hand M, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction; a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of patients with acute myocardial infarction). J Am Coll Cardiol. 2004;44(3):E1–211. https://doi.org/10.1016/j.jacc.2004.07.014.CrossRefPubMed Antman EM, Anbe DT, Armstrong PW, Bates ER, Green LA, Hand M, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction; a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of patients with acute myocardial infarction). J Am Coll Cardiol. 2004;44(3):E1–211. https://​doi.​org/​10.​1016/​j.​jacc.​2004.​07.​014.CrossRefPubMed
38.
Metadata
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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