Sometimes, the extent of hypertrophy is difficult to visualize; thus LV cavity opacification by intravenous administration of contrast material or cardiac magnetic resonance (CMR) may be helpful. In particular, apical HCM and apical aneurysms can be missed on transthoracic echocardiography (TTE) [12, 13].
Aneurysm is underdiagnosed by echocardiography in HCM and an accurate anatomic definition is needed if surgery is planned; thus, a CMR should always be obtained in these patients. Keywords: Apical aneurysm of left ventricle, hypertrophic cardiomyopathy, midventricular obstruction
Feb 08, 2013 · 2D ECHO- RWMA-in LAD territory , Large Apical Aneurysm ,Severe LV- Dysfunction ,EF- 30 %, Gr-1 Diastolic Dysfunction .no MR/VSD. 13. PRE lv apical aneurysm echo OP ECG-EXTENSIVE AWMI
Since the late 1970s cross sectional echocardiography lv apical aneurysm echo has been the method of choice for the detection of left ventricular thrombus. This is largely due to the high sensitivity (92–95%) and specificity (86–88%) of echocardiography in the detection of left ventricular thrombus. Cross sectional echocardiography also provides an indication of the size, shape, mobility, location, and point of ...
CCF – from poor LV systolic function if the LV aneurysm is >20% of the LV and from diastolic dysfunction due to a stiff non compliant LV. Occurs in 29% of patients and is a major cause of death Angina – usually due to ischaemia in a different vascular territory. > 60% of patients with LV aneurysms …
LV aneurysms generally portent a poor prognosis, with associated heart failure, CVA, ventricular arrythmia, occurring in 28% of patients with an MI. 7,8 In a retrospective study of 1823 patients undergoing PCI, female sex, peak pro-BNP, duration of chest pain to reperfusion time, QS wave on initial ECG, and regional wall motion abnormalities in ...
The LV end-systolic volume and LV end-diastolic volume were determined from the conventional lv apical aneurysm echo apical 2-and 4-chamber views, and LV ejection fraction was calculated ... Overall actuarial survival after left ventricle aneurysm plication. ... (r = 0.97, p < 0.001) and agreement between RT3DE and standard 2D echocardiography for quantification of LV ...
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