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Chapter-11 Advantages of 3D Echo over 2D Echo in Assessment of LV Clot in Patients with Myocardial Infarction

BOOK TITLE: Manual of 3D Echocardiography

Author
1. Amuthan V
2. Janarthanan RA
3. Balasubramanian S
4. Balachandran C
ISBN
9789350255865
DOI
10.5005/jp/books/11891_12
Edition
1/e
Publishing Year
2013
Pages
5
Author Affiliations
1. The Tamil Nadu Dr MGR Medical University, Chennai, Tamil Nadu, Tamil Nadu Dr MGR Medical University; Madurai Medical College; Jayalakshmi Heart Center, Madurai; Vadamalayan Hospital, Madurai, Tamil Nadu, India, Tamil Nadu Dr MGR Medical University; Madurai Medical College; Jeyalakshmi Heart Centre; Vadamalayan Hospital Madurai, Tamil Nadu, India, The Tamil Nadu Dr MGR Medical University, Indian Academy of Echocardiography; The Tamil Nadu Dr MGR Medical University; Jeyalakshmi Heart Center, Madurai; Vadamalayan Hospital, Madurai, Tamil Nadu, India, The Tamil Nadu Dr MGR Medical University, Chennai; Madurai Medical College, Madurai; Jeyalakshmi Heart Centre, Madurai; Vadamalayan Hospital, Madurai, Tamil Nadu, India, The Tamil Nadu Dr MGR Medical University; Madurai Medial College, Madurai, Tamil Nadu, India, IMA National Headquarters; The Tamil Nadu Dr MGR Medical University, Chennai; Madurai Medical College, Madurai; Journal of Indian Medical Association; IMA National HQ Standing Committee on Antimicrobial Resistance; South Zone IMA TNSB; Jeyalakshmi Heart Center, Madurai; Vadamalayan Hospital, Madurai;
2. Madurai Medical College, Madurai, Tamil Nadu, India
3. Government Mohan Kumaramangalam, Medical College, Salem, Tamil Nadu, India, Kanchi Kamakoti Childs Trust Hospital Chennai, Tamil Nadu, India, Kanchi Kamakoti Childs Trust Hospital, Chennai, Tamil Nadu, India, Kanchi Kamkoti Childs Trust Hospital, Nungambakkam, Chennai, Tamil Nadu, Kanchi Kamakoti CHILDS Trust Hospital and The Child Trust Medical Research Foundation, Chennai, Tamil Nadu, India, Kanchi Kamakoti CHILDS Trust Hospital and The CHILDS Trust Medical Research Foundation, Chennai, Tamil Nadu, India, Madurai Medical College, Madurai, Tamil Nadu, India, KanchiKamakoti Childs Trust Hospital, Chennai, Tamil Nadu, India, Apollo Hospitals Chennai, Tamil Nadu, India
4. Thirunelveli Medical College, Thirunelveli, Tamil Nadu, India, Lakshmy Group of Hospitals, Cochin, India
Chapter keywords
3D echo, 2D echo, LV clot, Myocardial infarction, Transthoracic echocardiography

Abstract

Left ventricular thrombus is a well recognized complication of acute myocardial infarction. The prevention recognition and appropriate treatment of this condition remain important because of the potential risk of systemic embolisation. Transthoracic echocardiography (TTE) remains the most common imaging modality to make a diagnosis of left ventricular thrombus. Advantages of TTE include convenience, portability, wide availability, relatively low cost compared to other imaging modalities, and the ability to provide important ancillary information on cardiac structure and function. The aim of the study was to find out the advantage of 3D echo over 2D echo in assessing LV clot in patients with myocardial infarction. There were ninety four patients admitted as myocardial infarction between January 2009 to July 2009. Among them eighty-two were males and twelve were females. All patients were subjected to both 2D echo and 3D echo between 2 days and 5 days after myocardial infarction. The LV dimensions, LV volumes, mitral regurgitation, ventricular septal rupture, LV clot were the variables, which were studied.

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