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Quantitative MCE for detection of ischaemia and viability

Patient Description

Patient with a first anterior MI in 2003 subacutely treated with PCI on the LAD but an occluded RCA was also found and left untreated.
In Jan 2011 new anterior STEMI with primary PCI of the LAD (progression of disease): RCA still occluded but also Cx is now severely diseased.



Additional contents from webparts:LVEF both at contrast 2D and contrast 3D is 30% and EDV approximately 200-210 ml

Contrast Echo Box : Atlas   Contrast Echo Box : Atlas
Contrast Echo Box : Atlas Contrast Echo Box : Atlas Contrast Echo Box : Atlas

 

Contrast Echo Box : Atlas Contrast Echo Box : Atlas Contrast Echo Box : Atlas Contrast Echo Box : Atlas Contrast Echo Box : Atlas

Contrast Echo Box : Atlas


  • True apex demonstrates absent late perfusion and apical lateral and septum show signifcantly reduced late perfusion, but less in particular if analyzed in end-diastole; the rest of the LV is viable.
  • Quantitative analysis confirms very low rate of replenishment in the apex.

Contrast Echo Box : Atlas  Contrast Echo Box : Atlas