Assessment of regional myocardial hypoperfusion with myocardial contrast echocardiography using intravenous bolus application in patients with acute chest pain: a double case report.

Abstract

Myocardial contrast echocardiography using power Doppler harmonic imaging is able to document myocardial hypoperfusion. Two case reports demonstrate the potential of intravenous bolus application of microbubbles in patients with acute chest pain due to myocardial ischaemia to detect regional low flow conditions. The case reports will focus on the necessity to present Doppler intensity kinetics by Doppler intensity vs time plots or coloured M-modes to present the data more objectively. In addition, the hypoperfusion detected with myocardial contrast echocardiography via bolus injection of microbubbles can only be proven by changes of regional perfusion between repetitive myocardial contrast echocardiography measurements or by additional perfusion analysis, e.g. by scintiscanning.

• Authors: A Hagendorff, A Goeckritz, A Neugebauer, T Rother, T Linke, D Pfeiffer, H Becher
• Journal: European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology (Eur J Echocardiogr) Vol. 4 Issue 4 Pg. 320-6 (Dec 2003) ISSN: 1525-2167 [Print] England
• PMID: 14611829 (Publication Type: Case Reports, Journal Article)

Chemical References

• Albumins
• Contrast Media
• FS 069
• Fluorocarbons

Topics

• Acute Disease
• Aged
• Albumins (administration & dosage)
• Chest Pain (etiology)
• Contrast Media (administration & dosage)
• Coronary Circulation
• Echocardiography, Doppler
• Female
• Fluorocarbons (administration & dosage)
• Humans
• Injections, Intravenous
• Male
• Middle Aged
• Myocardial Ischemia (diagnostic imaging)