TWO DIMENSIONAL ECHOCARDIOGRAPHY IN ACUTE MYOCARDIAL INFARCTION

Abstract

100 Patients with first episode of acute myocardial infarction were examined. 9 patients were excluded from
study because of poor echgenicity and the study consisted of 91 patients (53 anterior, 31 inferior, 6 posterior
and 1 lateral). Diagnostic admission electrocardiograph was possible in 31 (69 percent) of anterior and 14 (46
percent) of inferior infarcts. 6 patients of posterior and one of lateral wall infarct had the first
electrocardiograph within normal limits. Adequate 2 dimensional echocardiography was possible in 91
patients, 71 (79 percent) had the typical wall motion abnormalities. 45 (84 percent) of anterior, 22 (70
percent) of inferior, 4 (60 percent) of posterior and one (50 percent) patient of lateral wall infarct had the
diagnostic segmental dysfunction suggestive of myocardial infarction.