Usefulness of 2-dimensional echocardiography in detecting intraventricular thrombi in patients with acute myocardial infarction [Utilidad de la ecocardiografía bidimensional en la detección de trombos intraventriculares en pacientes con in
Por:
Vargas-Barrón J., Andrade-Freire A., Ramírez J.C., Waisser E., Martínez-Sánchez J.
Publicada:
1 ene 1989
Resumen:
The purpose of this study is to determine the importance of two-dimensional echocardiography performed soon after admission to the coronary care unit to provide useful information concerning wall-motion abnormalities, and to detect and characterize left ventricular thrombi. A major goal is to identify a subgroup of patients with acute myocardial infarction who are at risk for systemic embolization; in this subgroup the benefits of anticoagulation treatment would theoretically outweigh the associated risks. We studied 7 consecutive male patients, age range from 32 to 60 years, with acute myocardial infarction. Five patients had antero-septal infarction, 1 anterolateral and another had anterior wall infarction. We performed two-dimensional echocardiography within the first week after admission. All patients had severe apical-wall-motion abnormalities (akinesis or dyskinesis) and left ventricular thrombi. All patients received anticoagulation therapy. Two-dimensional echocardiography, performed one month after the first study, showed that the thrombi had decreased in size in 6 patients and could not be visualized in 1 patient. The noninvasive nature of echocardiography allows serial evaluations of patients with known left ventricular thrombi and permits assessment of the effect of therapy.
Filiaciones:
Vargas-Barrón J.:
Instituto Nacional de Cardiología Ignacio Chávez, D.F., Mexico
Andrade-Freire A.:
Instituto Nacional de Cardiología Ignacio Chávez, D.F., Mexico
Ramírez J.C.:
Instituto Nacional de Cardiología Ignacio Chávez, D.F., Mexico
Waisser E.:
Instituto Nacional de Cardiología Ignacio Chávez, D.F., Mexico
Martínez-Sánchez J.:
Instituto Nacional de Cardiología Ignacio Chávez, D.F., Mexico
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