Acute Inferior MI

 

Image Library Home >>Ischemic Heart Disease>> Acute Inferior Wall Infarction

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This individual has an acute RCA occlusion. There is a marked inferior wall motion abnormality, best seen here on the apical 2 chamber from the base to mid wall. The wall is not thin and scarred suggesting this is an acute or subacute event.

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The four chamber shows that the RV function is also likely compromised suggesting a concomitant RV infarct. The basal inferoseptum is also somewhat compromised in function.

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This apical long axis here is shown for completeness in assesing the LV function. The inferolateral wall has preserved function.

A

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B

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C

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D

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The parasternal short axis windows shows nicely how the inferior wall motion abnormality extends just from the base to the midwall. You see it at the level of the mitral valve (panel A), and mid ventricle (panel B) but not at the apex (panel C). The 2 chamber view is shown for comparison.