Abstract
According to the sequence of the ischemic cascade, regional contractile dysfunction precedes both electrocardiographic changes and symptoms during myocardial ischemia (Fig. 18.1). Thus, due to the suboptimal performance of the electrocardiogram to reliably detect or exclude acute coronary syndromes, including myocardial infarction (MI), evaluation of regional contractile function using two-dimensional echocardiography in patients with acute chest pain is clinically relevant. Echocardiography is portable, noninvasive, easily repeatable, efficacious, low cost, and widely available, rendering it uniquely suited for emergency medicine use. The visual analysis of segmental wall motion is the hallmark for the diagnosis.
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© 2009 Springer-Verlag London Limited
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Kamp, O., Visser, C.A. (2009). Echocardiography for Assessing Acute Myocardial Infarction. In: Nihoyannopoulos, P., Kisslo, J. (eds) Echocardiography. Springer, London. https://doi.org/10.1007/978-1-84882-293-1_18
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DOI: https://doi.org/10.1007/978-1-84882-293-1_18
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