| Revista: | Archivos de cardiología de México |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000187488 |
| ISSN: | 1405-9940 |
| Autores: | Vargas Barrón, Jesús1 Peña Duque, Marco Roldán, Francisco Javier Romero Cárdenas, Angel Espínola Zavaleta, Nilda Férez Santander, Sergio |
| Instituciones: | 1Instituto Nacional de Cardiología Ignacio Chávez, México, Distrito Federal. México |
| Año: | 2002 |
| Periodo: | Ene-Mar |
| Volumen: | 72 |
| Número: | 1 |
| Paginación: | 49-52 |
| País: | México |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, descriptivo |
| Resumen en español | We assessed right ventricular myocardial reperfusion through intracoronary contrast and transesophageal echocardiography after right coronary angioplasty. Low dose dobutamine was used to demonstrate contractile reserve in areas with microvascular integrity. Key words: Ultrasound contrast. Transesophageal echocardiography. Right ventricular infarction. Right atrial infarction. Contractile reserve. Resumen Valoramos el éxito de la reperfusión miocárdica en un paciente sometido a angioplastia coronaria mediante ecocardiografía transesofágica y la inyección intracoronaria de un ecorealzador. En las áreas en las que el ecorealzador mostraba integridad de la microcirculación, se pudo demostrar mediante la administración de Dobutamina a dosis bajas la presencia de reserva contráctil |
| Resumen en inglés | In the field of ischemic heart disease, contrast echocardiography is useful in the ventricular opacification and enhancement of endocardial border definition in patients with technically suboptimal studies in resting and stress echocardiography. In the same way, myocardial perfusion in the infarcted area has been assessed by myocardial contrast echocardiography (MCE) a validated technique that has been used to assess microvascular integrity in the setting of acute and subacute myocardial infarction. This evaluation is complemented using low dose dobutamine to study the contractile reserve.1 The assessment of myocardial reperfusion by intravenous or intracoronary contrast echocardiography after primary percutaneous transluminal coronary angioplasty (PTCA) or thrombolysis has been limited to the left ventricle.2,3 The purpose of this report is to show the utility of contrast and dobutamine echocardiography in the reinstauration of myocardial perfusion and in the study of the contractile reserve of the right ventricle in a patient with acute ischemic heart disease subjected to angioplasty of the right coronary artery |
| Disciplinas: | Medicina |
| Palabras clave: | Cirugía, Diagnóstico, Sistema cardiovascular, Infarto al miocardio, Ultrasonido, Angioplastia, Ecocardiografía, Reperfusión |
| Keyword: | Medicine, Cardiovascular system, Diagnosis, Surgery, Myocardial infarction, Ultrasound, Angioplasty, Echocardiography, Reperfusion |
| Texto completo: | Texto completo (Ver PDF) |
