[Echocardiography in acute coronary syndrome].
OBJECTIVE
The aim is to report on diagnostic and clinical role of echocardiography in acute coronary syndrome (ACS).


METHODS
Clinical, electrocardiographic, laboratory and echocardiographic data of 46 patients (26 men and 20 women), age range 38-82 (mean age 65 +/- 12.8) years admitted to hospital for ACS, were retrospectively analyzed. Echocardiography was performed with a ATL 3000 HDI (Advanced Technology Laboratories, Bothell, MA, USA.


RESULTS
Wall motion abnormalities were detected in 38 (83%), impaired global left ventricular (LV) ejection fraction (50%) in 14 (30%), LV diastolic dysfunction in 20 (43%) patients, and LV thrombus, acute thoracic aortic dissection, and rupture of interventricular septum with left to right shunt in 1 (2%) patient each.


CONCLUSIONS
Echocardiography has a diagnostic and prognostic value, and detects complications in ACS. Echocardiography can evaluate damaged myocardium and myocardium which is not involved with the acute ischemia. Assessment of global and segmental wall motion abnormalities, diastolic dysfunction and LV ejection fraction measurements are of great importance. New echocardiographic methods such as stress echocardiography and myocardial contrast echocardiography proved myocardial perfusion imaging at the microcirculation level, and contribute to an accurate diagnosis of ACS and better evaluation of reperfusion therapy. The use of echocardiography in the emergency room and coronary care unit as a nonivasive and inexpensive method in comparison with other established methods makes it highly useful in the management of ACS patients.
Vincelj
Josip
J
Zavod za bolesti srca i krvnih zila, Klinika za unutarnje bolesti, Klinicka bolnica Dubrava, Avenija Gojka Suska 6 10040 Zagreb, Hrvatska. jvincelj@kbd.hr
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000789:Angina, Unstable / Q000000981:diagnostic imaging*; D004452:Echocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging*