Ischemia and Myocardial Infarction

  • Ferdinando Luca LoriniEmail author
  • Marialuigia Dello Russo
  • Elena Pagani


The echocardiogram is a standard tool in the evaluation and treatment of patients with acute myocardial infarction (AMI). The role of echocardiography is to establish the diagnosis, location, and extent of myocardial infarction, to diagnose mechanical complications of infarction, and to provide prognostic information important for risk stratification and short- and long-term outcome. The use of echocardiography in ischemic heart disease is based upon the rapid change in wall motion of a segment after an interruption or critical decrease in its blood supply. Echocardiography is a valuable, noninvasive diagnostic tool that can provide information about systolic function and valvular abnormalities and can provide alternative explanations for the causes of chest pain, such as aortic dissection, aortic stenosis, cardiac tamponade, pericarditis, and hypertrophic cardiomyopathy.


Myocardial ischemia Acute coronary syndrome Acute myocardial infarction Ischemic heart disease Coronary artery disease TDI Tissue Doppler imaging Strain Speckle tracking imaging 

Suggested Readings

  1. Cheitlin MD, Armstrong WF, Aurigemma GP, et al. ACC/AHA/ASE 2003 guideline update for the clinical application of echocardiography: summary article. A report of the American College of Cardiology/AmericanHeart Association Task Force on Practice Guidelines (ACC/AHA/ASE committee to update the1997 guidelines for the clinical application of echocardiography). J Am Soc Echocardiogr. 2006;16(10):1091–110.Google Scholar
  2. Chen X, Nakatani S. Transmural myocardial strain gradient: a new and robust quantitative index of left ventricular wall motion based on myocardial strain imaging. Echocardiography. 2011;28(2):181–7.CrossRefGoogle Scholar
  3. Greaves SC. Role of echocardiography in acute coronary syndromes. Heart. 2010;88(4):419–25.CrossRefGoogle Scholar
  4. Kadappu KK, Thomas L. Tissue Doppler imaging in echocardiography: value and limitations. Heart Lung Circ. 2015;24:224–33.CrossRefGoogle Scholar
  5. Leung DY, Arnold CT. Emerging clinical role of strain imaging in echocardiography. Heart Lung Circ. 2010;19:161–74.CrossRefGoogle Scholar
  6. Muttreja MR, Mohler ER 3rd. Clinical use of ischemic markers and echocardiography in the emergency department. Echocardiography. 1999;16(2):187–92.CrossRefGoogle Scholar
  7. Prastaro M, Pirozzi E, Gaibazzi N, et al. Expert review on the prognostic role of echocardiography after acute myocardial infarction. J Am Soc Echocardiogr. 2017;30:430–43.CrossRefGoogle Scholar
  8. Smiseth OA, Torp H, Opdahl A, et al. Myocardial strain imaging: how useful is it in clinical decision making? Eur Heart J. 2016;37:1196–207.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Ferdinando Luca Lorini
    • 1
    Email author
  • Marialuigia Dello Russo
    • 1
  • Elena Pagani
    • 2
  1. 1.Department of Anesthesia and Intensive Care MedicineASST Papa Giovanni XXIIIBergamoItaly
  2. 2.Department of Anesthesia and Intensive Care MedicineAzienda Ospedaliero-Universitaria PisanaPisaItaly

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