Is follow-up echocardiogram mandatory after a STEMI?

IF 3.2 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Echo Research and Practice Pub Date : 2020-09-01 DOI:10.1530/ERP-20-0022

Sathish Kumar Parasuraman, Janaki Srinivasan, Paul Broadhurst

引用次数: 0

Abstract

Current guidelines do not advise follow-up echocardiograms after ST-segment elevation myocardial infarction (STEMI), unless the left ventricular ejection fraction is ≤40%. We present an interesting case of left ventricular pseudo-aneurysm-diagnosed 6 months after index STEMI presentation. Follow-up echocardiogram was performed in her case, due to jaw pain during routine haemodialysis. The patient was successfully treated with percutaneous closure device. This case raises the question of whether echo follow-up should be routinely advised after STEMI-even in those with minimal cardiac symptoms.

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STEMI后是否必须随访超声心动图?

目前的指南不建议st段抬高型心肌梗死(STEMI)后随访超声心动图，除非左室射血分数≤40%。我们提出一个有趣的左心室假性动脉瘤的病例-诊断后6个月指数STEMI提出。由于在常规血液透析时出现下颚疼痛，对该病例进行了随访超声心动图检查。经皮闭合装置治疗成功。这个病例提出了一个问题，即是否应该在stemi后常规建议回声随访，即使是那些心脏症状最小的患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Echo Research and Practice CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

6.70

自引率

12.70%

发文量

审稿时长

8 weeks

期刊介绍： Echo Research and Practice aims to be the premier international journal for physicians, sonographers, nurses and other allied health professionals practising echocardiography and other cardiac imaging modalities. This open-access journal publishes quality clinical and basic research, reviews, videos, education materials and selected high-interest case reports and videos across all echocardiography modalities and disciplines, including paediatrics, anaesthetics, general practice, acute medicine and intensive care. Multi-modality studies primarily featuring the use of cardiac ultrasound in clinical practice, in association with Cardiac Computed Tomography, Cardiovascular Magnetic Resonance or Nuclear Cardiology are of interest. Topics include, but are not limited to: 2D echocardiography 3D echocardiography Comparative imaging techniques – CCT, CMR and Nuclear Cardiology Congenital heart disease, including foetal echocardiography Contrast echocardiography Critical care echocardiography Deformation imaging Doppler echocardiography Interventional echocardiography Intracardiac echocardiography Intraoperative echocardiography Prosthetic valves Stress echocardiography Technical innovations Transoesophageal echocardiography Valve disease.