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25.03.2024 | Echocardiography (JM Gardin and AH Waller, Section Editors)

Echocardiography in the Recognition and Management of Mechanical Complications of Acute Myocardial Infarction

verfasst von: Robert S. Zhang, Richard Ro, Daniel Bamira, Alan Vainrib, Lily Zhang, Ambika C. Nayar, Muhamed Saric, Samuel Bernard

Erschienen in: Current Cardiology Reports

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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.

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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.

Grines CL, Browne KF, Marco J, Rothbaum D, Stone GW, O’Keefe J, et al. A comparison of immediate angioplasty with thrombolytic therapy for acute myocardial infarction. The Primary Angioplasty in Myocardial Infarction Study Group. N Engl J Med. 1993;328(10):673–9. https://doi.org/10.1056/NEJM199303113281001.CrossRefPubMed

Keeley EC, Boura JA, Grines CL. Primary angioplasty versus intravenous thrombolytic therapy for acute myocardial infarction: a quantitative review of 23 randomised trials. Lancet. 2003;361(9351):13–20. https://doi.org/10.1016/S0140-6736(03)12113-7.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

French JK, Hellkamp AS, Armstrong PW, Cohen E, Kleiman NS, O’Connor CM, et al. Mechanical complications after percutaneous coronary intervention in ST-elevation myocardial infarction (from APEX-AMI). Am J Cardiol. 2010;105(1):59–63. https://doi.org/10.1016/j.amjcard.2009.08.653.CrossRefPubMed

Bhardwaj B, Sidhu G, Balla S, Kumar V, Kumar A, Aggarwal K, et al. Outcomes and hospital utilization in patients with papillary muscle rupture associated with acute myocardial infarction. Am J Cardiol. 2020;125(7):1020–5. https://doi.org/10.1016/j.amjcard.2019.12.051.CrossRefPubMed

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.

Calvo FE, Figueras J, Cortadellas J, Soler-Soler J. Severe mitral regurgitation complicating acute myocardial infarction. Clinical and angiographic differences between patients with and without papillary muscle rupture. Eur Heart J. 1997;18(10):1606–10. https://doi.org/10.1093/oxfordjournals.eurheartj.a015140.CrossRefPubMed

Figueras J, Calvo F, Cortadellas J, Soler-Soler J. Comparison of patients with and without papillary muscle rupture during acute myocardial infarction. Am J Cardiol. 1997;80(5):625–7. https://doi.org/10.1016/s0002-9149(97)00435-9.CrossRefPubMed

10.

Watanabe N. Acute mitral regurgitation. Heart. 2019;105(9):671–7. https://doi.org/10.1136/heartjnl-2018-313373.CrossRefPubMed

11.

Wiener PC, Friend EJ, Bhargav R, Radhakrishnan K, Kadem L, Pressman GS. Color Doppler splay: a clue to the presence of significant mitral regurgitation. J Am Soc Echocardiogr. 2020;33(10):1212–9 e1. https://doi.org/10.1016/j.echo.2020.05.002.CrossRefPubMed

12.

Bernard S, Deferm S, Bertrand PB. Acute valvular emergencies. Eur Heart J Acute Cardiovasc Care. 2022;11(8):653–65. https://doi.org/10.1093/ehjacc/zuac086.CrossRefPubMed

13.

Stout KK, Verrier ED. Acute valvular regurgitation. Circulation. 2009;119(25):3232–41. https://doi.org/10.1161/circulationaha.108.782292.CrossRefPubMed

14.

Valle JA, Miyasaka RL, Carroll JD. Acute mitral regurgitation secondary to papillary muscle tear: is transcatheter edge-to-edge mitral valve repair a new paradigm? Circ Cardiovasc Interv. 2017;10(6). https://doi.org/10.1161/CIRCINTERVENTIONS.117.005050.

15.

Skehan JD, Carey C, Norrell MS, de Belder M, Balcon R, Mills PG. Patterns of coronary artery disease in post-infarction ventricular septal rupture. Br Heart J. 1989;62(4):268–72. https://doi.org/10.1136/hrt.62.4.268.CrossRefPubMedPubMedCentral

16.

Jones BM, Kapadia SR, Smedira NG, Robich M, Tuzcu EM, Menon V, et al. Ventricular septal rupture complicating acute myocardial infarction: a contemporary review. Eur Heart J. 2014;35(31):2060–8. https://doi.org/10.1093/eurheartj/ehu248.CrossRefPubMed

17.

Birnbaum Y, Fishbein MC, Blanche C, Siegel RJ. Ventricular septal rupture after acute myocardial infarction. N Engl J Med. 2002;347(18):1426–32. https://doi.org/10.1056/NEJMra020228.CrossRefPubMed

18.

Birnbaum Y, Wagner GS, Gates KB, Thompson TD, Barbash GI, Siegel RJ, et al. Clinical and electrocardiographic variables associated with increased risk of ventricular septal defect in acute anterior myocardial infarction. Am J Cardiol. 2000;86(8):830–4. https://doi.org/10.1016/s0002-9149(00)01101-2.CrossRefPubMed

19.

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.

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

21.

Moreyra AE, Huang MS, Wilson AC, Deng Y, Cosgrove NM, Kostis JB, et al. Trends in incidence and mortality rates of ventricular septal rupture during acute myocardial infarction. Am J Cardiol. 2010;106(8):1095–100. https://doi.org/10.1016/j.amjcard.2010.06.013.CrossRefPubMed

22.

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.

23.

Arnaoutakis GJ, Zhao Y, George TJ, Sciortino CM, McCarthy PM, Conte JV. Surgical repair of ventricular septal defect after myocardial infarction: outcomes from the Society of Thoracic Surgeons National Database. Ann Thorac Surg. 2012;94(2):436–43; discussion 443–4. https://doi.org/10.1016/j.athoracsur.2012.04.020.

24.

Schlotter F, de Waha S, Eitel I, Desch S, Fuernau G, Thiele H. Interventional post-myocardial infarction ventricular septal defect closure: a systematic review of current evidence. EuroIntervention. 2016;12(1):94–102. https://doi.org/10.4244/EIJV12I1A17.CrossRefPubMed

25.

Calvert PA, Cockburn J, Wynne D, Ludman P, Rana BS, Northridge D, et al. Percutaneous closure of postinfarction ventricular septal defect: in-hospital outcomes and long-term follow-up of UK experience. Circulation. 2014;129(23):2395–402. https://doi.org/10.1161/CIRCULATIONAHA.113.005839.CrossRefPubMed

26.

Formica F, Mariani S, Singh G, D’Alessandro S, Messina LA, Jones N, et al. Postinfarction left ventricular free wall rupture: a 17-year single-centre experience. Eur J Cardiothorac Surg. 2018;53(1):150–6. https://doi.org/10.1093/ejcts/ezx271.CrossRefPubMed

27.

Moreno R, Lopez-Sendon J, Garcia E, de Isla LP, de Sa EL, Ortega A, et al. Primary angioplasty reduces the risk of left ventricular free wall rupture compared with thrombolysis in patients with acute myocardial infarction. J Am Coll Cardiol. 2002;39(4):598–603. https://doi.org/10.1016/s0735-1097(01)01796-x.CrossRefPubMed

28.

Menon V, Slater JN, White HD, Sleeper LA, Cocke T, Hochman JS. Acute myocardial infarction complicated by systemic hypoperfusion without hypotension: report of the SHOCK trial registry. Am J Med. 2000;108(5):374–80. https://doi.org/10.1016/s0002-9343(00)00310-7.CrossRefPubMed

29.

•• 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

30.

Antunes MJ. Left ventricular free wall rupture: a real nightmare. J Card Surg. 2021;36(9):3334–6. https://doi.org/10.1111/jocs.15697.CrossRefPubMed

31.

Figueras J, Alcalde O, Barrabés JA, Serra V, Alguersuari J, Cortadellas J, et al. Changes in hospital mortality rates in 425 patients with acute ST-elevation myocardial infarction and cardiac rupture over a 30-year period. Circulation. 2008;118(25):2783–9. https://doi.org/10.1161/circulationaha.108.776690.CrossRefPubMed

32.

Yeo TC, Malouf JF, Oh JK, Seward JB. Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm. Ann Intern Med. 1998;128(4):299–305. https://doi.org/10.7326/0003-4819-128-4-199802150-00010.CrossRefPubMed

33.

Frances C, Romero A, Grady D. Left ventricular pseudoaneurysm. J Am Coll Cardiol. 1998;32(3):557–61. https://doi.org/10.1016/s0735-1097(98)00290-3.CrossRefPubMed

34.

Atik FA, Navia JL, Vega PR, Gonzalez-Stawinski GV, Alster JM, Gillinov AM, et al. Surgical treatment of postinfarction left ventricular pseudoaneurysm. Ann Thorac Surg. 2007;83(2):526–31. https://doi.org/10.1016/j.athoracsur.2006.06.080.CrossRefPubMed

35.

Dudiy Y, Jelnin V, Einhorn BN, Kronzon I, Cohen HA, Ruiz CE. Percutaneous closure of left ventricular pseudoaneurysm. Circ Cardiovasc Interv. 2011;4(4):322–6. https://doi.org/10.1161/CIRCINTERVENTIONS.111.962464.CrossRefPubMed

36.

Arslan F, Bongartz L, Ten Berg JM, Jukema JW, Appelman Y, Liem AH, et al. 2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: comments from the Dutch ACS working group. Neth Heart J. 2018;26(9):417–21. https://doi.org/10.1007/s12471-018-1134-0.CrossRefPubMedPubMedCentral

37.

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.

Shah M, Patnaik S, Patel B, Ram P, Garg L, Agarwal M, et al. Trends in mechanical circulatory support use and hospital mortality among patients with acute myocardial infarction and non-infarction related cardiogenic shock in the United States. Clin Res Cardiol. 2018;107(4):287–303. https://doi.org/10.1007/s00392-017-1182-2.CrossRefPubMed

39.

Sanchez-Jimenez E, Fanne RA, Levi Y, Saada M, Kobo O, Roguin A. Predictors, outcomes and impact of mechanical circulatory support of patients with mechanical complications after acute myocardial infarction. Cardiovasc Revasc Med. 2023;52:23–9. https://doi.org/10.1016/j.carrev.2023.02.004.CrossRefPubMed

40.

Chiang M, Gonzalez PE, O’Neill BP, Lee J, Frisoli T, Wang DD, et al. Left atrial venoarterial extracorporeal membrane oxygenation for acute aortic regurgitation and cardiogenic shock. JACC Case Rep. 2022;4(5):276–9. https://doi.org/10.1016/j.jaccas.2021.12.030.CrossRefPubMedPubMedCentral

41.

Villablanca P, Nona P, Lemor A, Qintar M, O’Neill B, Lee J, et al. Mechanical circulatory support in cardiogenic shock due to structural heart disease. Interv Cardiol Clin. 2021;10(2):221–34. https://doi.org/10.1016/j.iccl.2020.12.007.CrossRefPubMed

Titel: Echocardiography in the Recognition and Management of Mechanical Complications of Acute Myocardial Infarction
verfasst von: Robert S. Zhang
Richard Ro
Daniel Bamira
Alan Vainrib
Lily Zhang
Ambika C. Nayar
Muhamed Saric
Samuel Bernard
Publikationsdatum: 25.03.2024
Verlag: Springer US
Erschienen in: Current Cardiology Reports
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI: https://doi.org/10.1007/s11886-024-02042-5

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Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Echocardiography in the Recognition and Management of Mechanical Complications of Acute Myocardial Infarction

Abstract

Purpose of Review

Recent Findings

Summary

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„Jeder Fall von plötzlichem Tod muss obduziert werden!“

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Schlechtere Vorhofflimmern-Prognose bei kleinem linken Ventrikel

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Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Abstract

Purpose of Review

Recent Findings

Summary

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Neu im Fachgebiet Kardiologie

„Jeder Fall von plötzlichem Tod muss obduziert werden!“

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

Schlechtere Vorhofflimmern-Prognose bei kleinem linken Ventrikel

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