Noninvasive detection by doppler echocardiography of combined ventricular septal rupture and mitral regurgitation in acute myocardial infarction

Abstract

The diagnosis of combined ventricular septal rupture and mitral regurgitation complicating acute myocardial infarction is difficult and in previously reported cases has required right and left heart catheterization. This study utilized simultaneous Doppler and two-dimensional echocardiography to diagnose these combined lesions in two cases. Doppler echocardiography should have its greatest impact in the early noninvasive diagnosis of these complications.

Incidence and in-hospital complications of acute mitral regurgitation in the early phase of acute myocardial infarction in Erbil teaching hospital

“…Group-II patients had a higher mean age (65.4±10.76 years) than Group-I patients (56±11 years), P value of 0.01. The risk factors which include hypertension , diabetes mellitus, smoking, family history, hyperlipidemia, and obesity are studied and there was no statistically significant difference in both groups of patients as shown in Table (2). Anterior MI was recorded in 58% of patients and 42% had inferior wall MI.…”

“…1 The mere presence of mitral regurgitation (MR) after acute MI has been shown to adversely affect prognosis. 2,3 Severe MR complicating (AMI) is an important cause of hemodynamic instability and cardiogenic shock (CS). 4,5 The clinician cannot rely on a new holosystolic murmur to diagnose MR or assess its severity because of the variable hemodynamic status.…”