Myocardial infarction septal

Figure 5.38 ECG with SAH and mild ST/T abnormalities. The patient presented different myocardial infarctions - septal, anterior and lateral detected by CE-CMR that masked each other. This figure can be seen in colour, Plate 4.

Structural abnormalities such as atrial-septal aneurysm Myocardial infarction... 

Post-surgical and post-myocardial infarction ventricular septal defect... 

The vast majority of ventricular septal defects (VSD) are congenital. Acquired VSDs are almost always a consequence of septal rupture following myocardial infarction, traumatic VSDs as a consequence of sharp or blunt chest trauma are exceptionally rare. Typically the post myocardial infarction ventricular septal defect (PMIVSD) occurs within the first week after the event (41). In the current era of thrombolysis about 0.2% of patients develop a VSD as a result of septal necrosis. Medical management of these patients is limited and carries a 30-day mortality of 94% compared with 47% who were treated surgically (42). 

Topaz O, Taylor AL, Interventricular septal rupture complicating acute myocardial infarction from pathophysiologic features to the role of invasive and noninvasive diagnostic modalities in current management. Am J Med 1992 93(6) 683-688. Review. 

Crenshaw BS, Granger CB, Birnbaum Y, et al. Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. GUSTO-1 (Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries) Trial Investigators. Circulation 2000 101(1 ) 27—32. 

Toyoda Y, Shida T, Wakita N, Ozaki N, Takahashi R, Okada M. Evidence of apoptosis induced by myocardial ischemia A case of ventricular septal rupture following acute myocardial infarction. Cardiology 1998 90 149-151. 

Figure 5.47 Patient with complete RBBB and myocardial infarction type A-3 (extensive anterior Ml). Observe the Q wave in precordial leads and the QS morphology in VL. In CE-CMR images (A-E) show important involvement of lateral, anterior and septal walls, and even the lower part...

Sodi Pallares D, Rodriguez H. Morphology of the unipolar leads recorded at the septal surface its application to diagnosis of left bundle branch block complicated by myocardial infarction. Am Heart J 1952 43 27. 

Fig. 20.5a-d. Contrast-enhanced DSCT of the heart performed in a 58-year-old male patient who had suffered a large myocardial infarction of the anterior and septal wall of the left ventricle (i.e., the vascular supply territory of the LAD). A se-... 

Ischemic Heart Disease (IHD) Myocardial Infarction (MI) Normal variant Cardiomyopathy Fibrosis of condnction system Hypertension Pnlmonary Embolism Atrial Septal Defect (ASD) Congenital heart disease... 

Boekstegers B Steinbigler P Molnar A, et al. Pressure-guided nonsurgical myocardial reduction induced by small septal infarctions in hypertrophic obstructive cardiomyopathy. J Am Coll Cardiol 2001 38 846-853. 

However, at the individual level, the standard error of myocardial damage quantification using this score is large, such that its clinical usefulness is limited. The most important cause of errors of this score is produced by the method s inability to quantify basal infarcted areas, mainly the septal and lateral areas. 

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