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Is follow-up echocardiogram mandatory after a STEMI?

Echo Research & Practice volume 7, pages K27–K30 (2020)Cite this article

Summary

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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This work did not receive any specific grant from any funding agency in the public, commercial, or not-for-profit sector.

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Authors and Affiliations

  1. Musgrove Park Hospital, Taunton, UK

    Sathish Kumar Parasuraman PhD MRCP

  2. Aberdeen Royal Infirmary, Aberdeen, UK

    Janaki Srinivasan BSE & Paul Broadhurst MD FRCP

Authors
  1. Sathish Kumar Parasuraman PhD MRCP
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  2. Janaki Srinivasan BSE
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Correspondence to Janaki Srinivasan BSE.

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Parasuraman, S.K., Srinivasan, J. & Broadhurst, P. Is follow-up echocardiogram mandatory after a STEMI?. Echo Res Pract 7, K27–K30 (2020). https://doi.org/10.1530/ERP-20-0022

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  • DOI: https://doi.org/10.1530/ERP-20-0022

Key Words

  • left ventricular pseudo-aneurysm
  • LV aneurysm
  • aneurysm
  • post STEMI echo
  • 2D echocardiography

Echo Research & Practice

ISSN: 2055-0464