In order to bring you the best possible user experience, this site uses Javascript. If you are seeing this message, it is likely that the Javascript option in your browser is disabled. For optimal viewing of this site, please ensure that Javascript is enabled for your browser.
Did you know that your browser is out of date? To get the best experience using our website we recommend that you upgrade to a newer version. Learn more.

A woman with retrosternal chest pain referred for pPCI

Acute Echo Challenge Season 2 - Episode 1

23/06/2021 20:00 23/06/2021 Europe/Paris A woman with retrosternal chest pain referred for pPCI DD/MM/YYYY


Role and value of cardiac imaging in real clinical context

The Challengee: Dr. Alessia Gambaro, Italy

Alessia Gambaro 2- Italy.pdf.jpg

"The ACVC Acute Echo Challenge was a fantastic experience, which made me grow!

It was really interesting to see how I changed my approach and perspective during the case scenario.

In the acute setting, I excluded the most dangerous things (acute aortic syndrome, big problems with the valves) and focused on the main problem: the akinetic left ventricle and the ST elevation on the ECG. After the coronary angiography, when the situation was more stable, I looked closely at the echo images and elements I overlooked in the acute setting became more obvious.

Guided by a great mentor, Prof. Neskovic, I reached the diagnosis using the proper imaging techniques at the appropriate time."

The case

  • 71-year-old woman
  • Retrostenal chaest pain 3.5 hours ago, while lifting a heavy box
  • Referred as STEMI for pPCI
  • Two years beofre one episode of chest pain while removing snow, relieved after two hours and NSAID
  • RF for CAS: smoker (for 40yrs/ 10 cigarettes per day)
  • In 2015, operated on for colon adenoCa, followed by chemotherapy - no evidence of cancer recurrence
  • Taking no medication
  • ED: pain still present, the same intensity associated with fatigue and sweating, no propagation in arm/back/jaws