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Acta Academiae Medicinae Wuhan

, Volume 4, Issue 2, pp 113–117 | Cite as

Two-dimensional echocardiographic diagnosis of postinfarction ventricular aneurysms

  • Huang Hua-qing
  • Gao Yu
  • Mao Huan-yuan
  • Wang Xin-fang
  • Wang Jia-en
  • Chen Han-rong
  • Huang You-zhen
Article
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Summary

A comparative study of two-dimensional echocardiography with ECG was performed in 52 patients with myocardial infarction. Based on Sun’s ECG criteria for diagnosing ventricular aneurysm, the sensitivity of two-dimensional echocardiography (2-DE) to diagnosing ventricular aneurysm was found to be 73% and the specificity, 98 %. This article proposes the following 2-DE criteria for diagnosing ventricular aneurysm: (l) a localized bulge of the ventricular chamber throughout the cardiac cycle, (2) akinesia or paradoxical motion of the bulging ventricular wall. 2-DE can not only define the site of ventricular aneurysm but also furnish information on the size of ventricular aneurysm, the motion situation of the ventricular wall and left ventricular function, etc. Therefore, 2-DE is more valuable for diagnosing ventricular aneurysm than ECG.

Key words

two-dimensional echocardiography ventricular aneurysm 

Diagnose des Ventrikelaneurysmas nach Myokardinfarkt mittels zweidimensionaler Echokardiographie

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References

  1. 1.
    Weyman AE, et al. Detection of left ventricular aneurysms by cross-sectional echocardiography. Circulation 1976; 54: 936–44.PubMedGoogle Scholar
  2. 2.
    ST 1980: 8: 255.Google Scholar
  3. 3.
    Gorlin R, et al. Prospective correlative study of ventricular aneurysm: Mechanistic concept and clinical recognition. Am J Med 1967;42:512–31.PubMedCrossRefGoogle Scholar
  4. 4.
    Dubnow MH, et al. Postinfarction ventricular aneurysm: A clinicomorphologic and electrocardiographic study of 80 cases. Am Heart J 1965; 70:753–60.PubMedCrossRefGoogle Scholar
  5. 5.
    Mourdjinis ATH, et al. Clinical diagnosis and prognosis of ventricular aneurysm. Br Heart J 1968; 30:497–513.PubMedCrossRefGoogle Scholar
  6. 6.
    Froehlich RT, et al. Prospective study of surgery for left ventricular aneurysm. Am J Cardiol 1980; 45:923–31.PubMedCrossRefGoogle Scholar
  7. 7.
    Grondin P, et al. Natural history of sac-cular aneurysms of the left ventricle. J Thorac Cardiovasc Surg 1979; 77;57.PubMedGoogle Scholar

Copyright information

© Wuhan Medical College 1984

Authors and Affiliations

  • Huang Hua-qing
    • 1
  • Gao Yu
    • 1
  • Mao Huan-yuan
    • 1
  • Wang Xin-fang
    • 1
  • Wang Jia-en
    • 1
  • Chen Han-rong
    • 1
  • Huang You-zhen
    • 1
  1. 1.Institute of Cardiovascular DiseasesWuhan Medical CollegeWuhan

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