AI Article Synopsis
- Current guidelines recommend against follow-up echocardiograms after a STEMI unless the left ventricular ejection fraction is ≤40%.
- A unique case is presented where a follow-up echocardiogram, prompted by unrelated jaw pain during dialysis, revealed a left ventricular pseudo-aneurysm six months post-STEMI.
- The successful treatment with a percutaneous closure device suggests that routine echocardiographic follow-up may be beneficial after STEMI, even for patients with minor cardiac symptoms.
Article Abstract
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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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7487183 | PMC |
| http://dx.doi.org/10.1530/ERP-20-0022 | DOI Listing |
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