CLINICAL USEFULNESS OF TWO DIMENSIONAL ECHOCARDIOGRAM DURING CARDIAC EMERGENCY

Abstract

In the present study, we investigated the clinical usefulness of emergency 2DE in patients with AMI with or without complications, myocarditis, and SBE. The results were as foffows : 1) 2DE was useful in the early diagnosis of subendocardial infarctions associated with bundle brlanch block, where ECG was not useful in detecting AMI. 2) The complications of AMI, such as interventricular septal perforation, free wall rupture, and tend # on rupture, could be easily and promptly be diagnosed by 2DE. 3) 2DE was able to give information about the extent and the degree of the valvular lesions impaired by SBE, which was necessary for surgical treatment. 4) Myocarditis brought about myocardial inflammatory edema and asynergy, we could follow up serial changes throughout by 2DE. Thus, it was concluded that 2DE can play an important role for clinical diagnosis of acute cardiovascular diseases, because the method can be performed easily and noninvasively, and can provide valuable information which cannot be obtained by the other existing methods.