Echocardiographic features of myocardial rupture after acute myocardial infarction on emergency echocardiography
Objective Myocardial rupture is a fatal complication of acute myocardial infarction (AMI). Early diagnosis of myocardial rupture is feasible when emergency physicians (EPs) perform emergency transthoracic echocardiography (TTE). The purpose of this study was to report the echocardiographic features...
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| Format: | Article |
| Language: | English |
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The Korean Society of Emergency Medicine
2023-12-01
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| Series: | Clinical and Experimental Emergency Medicine |
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| Online Access: | http://www.ceemjournal.org/upload/pdf/ceem-23-037.pdf |
| _version_ | 1827381085621714944 |
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| author | Byung Wook Lee Yong Sung Cha Sung Oh Hwang Yoon-Seop Kim Sun Ju Kim |
| author_facet | Byung Wook Lee Yong Sung Cha Sung Oh Hwang Yoon-Seop Kim Sun Ju Kim |
| author_sort | Byung Wook Lee |
| collection | DOAJ |
| description | Objective Myocardial rupture is a fatal complication of acute myocardial infarction (AMI). Early diagnosis of myocardial rupture is feasible when emergency physicians (EPs) perform emergency transthoracic echocardiography (TTE). The purpose of this study was to report the echocardiographic features of myocardial rupture on emergency TTE performed by EPs in the emergency department (ED). Methods This was a retrospective and observational study involving consecutive adult patients presenting with AMI who underwent TTE performed by EPs in the ED of a single academic medical center from March 2008 to December 2019. Results Fifteen patients with myocardial rupture, including eight (53.3%) with free wall rupture (FWR), five (33.3%) with ventricular septal rupture (VSR), and two (13.3%) with FWR and VSR, were identified. Fourteen of the 15 patients (93.3%) were diagnosed on TTE performed by EPs. Diagnostic echocardiographic features were found in 100% of the patients with myocardial rupture, including pericardial effusion for FWR and a visible shunt on the interventricular septum for VSR. Additional echocardiographic features indicating myocardial rupture were thinning or aneurysmal dilatation in 10 patients (66.7%), undermined myocardium in six patients (40.0%), abnormal regional motions in six patients (40.0%), and pericardial hematoma in six patients (40.0%). Conclusion Early diagnosis of myocardial rupture after AMI is possible using echocardiographic features on emergency TTE performed by EPs. |
| first_indexed | 2024-03-08T13:49:02Z |
| format | Article |
| id | doaj.art-1dfa7a73ea32436f86cabefcbcede0f7 |
| institution | Directory Open Access Journal |
| issn | 2383-4625 |
| language | English |
| last_indexed | 2024-03-08T13:49:02Z |
| publishDate | 2023-12-01 |
| publisher | The Korean Society of Emergency Medicine |
| record_format | Article |
| series | Clinical and Experimental Emergency Medicine |
| spelling | doaj.art-1dfa7a73ea32436f86cabefcbcede0f72024-01-16T06:04:48ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252023-12-0110439339910.15441/ceem.23.037479Echocardiographic features of myocardial rupture after acute myocardial infarction on emergency echocardiographyByung Wook Lee0Yong Sung Cha1Sung Oh Hwang2Yoon-Seop Kim3Sun Ju Kim4 Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, KoreaObjective Myocardial rupture is a fatal complication of acute myocardial infarction (AMI). Early diagnosis of myocardial rupture is feasible when emergency physicians (EPs) perform emergency transthoracic echocardiography (TTE). The purpose of this study was to report the echocardiographic features of myocardial rupture on emergency TTE performed by EPs in the emergency department (ED). Methods This was a retrospective and observational study involving consecutive adult patients presenting with AMI who underwent TTE performed by EPs in the ED of a single academic medical center from March 2008 to December 2019. Results Fifteen patients with myocardial rupture, including eight (53.3%) with free wall rupture (FWR), five (33.3%) with ventricular septal rupture (VSR), and two (13.3%) with FWR and VSR, were identified. Fourteen of the 15 patients (93.3%) were diagnosed on TTE performed by EPs. Diagnostic echocardiographic features were found in 100% of the patients with myocardial rupture, including pericardial effusion for FWR and a visible shunt on the interventricular septum for VSR. Additional echocardiographic features indicating myocardial rupture were thinning or aneurysmal dilatation in 10 patients (66.7%), undermined myocardium in six patients (40.0%), abnormal regional motions in six patients (40.0%), and pericardial hematoma in six patients (40.0%). Conclusion Early diagnosis of myocardial rupture after AMI is possible using echocardiographic features on emergency TTE performed by EPs.http://www.ceemjournal.org/upload/pdf/ceem-23-037.pdfmyocardial infarctioncomplicationemergency medical servicesechocardiography |
| spellingShingle | Byung Wook Lee Yong Sung Cha Sung Oh Hwang Yoon-Seop Kim Sun Ju Kim Echocardiographic features of myocardial rupture after acute myocardial infarction on emergency echocardiography Clinical and Experimental Emergency Medicine myocardial infarction complication emergency medical services echocardiography |
| title | Echocardiographic features of myocardial rupture after acute myocardial infarction on emergency echocardiography |
| title_full | Echocardiographic features of myocardial rupture after acute myocardial infarction on emergency echocardiography |
| title_fullStr | Echocardiographic features of myocardial rupture after acute myocardial infarction on emergency echocardiography |
| title_full_unstemmed | Echocardiographic features of myocardial rupture after acute myocardial infarction on emergency echocardiography |
| title_short | Echocardiographic features of myocardial rupture after acute myocardial infarction on emergency echocardiography |
| title_sort | echocardiographic features of myocardial rupture after acute myocardial infarction on emergency echocardiography |
| topic | myocardial infarction complication emergency medical services echocardiography |
| url | http://www.ceemjournal.org/upload/pdf/ceem-23-037.pdf |
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