About 45 y old patient with the typical clinical afflictions of acute coronary syndrom. in TTE I couldn´t see a LV-wall-motion-disorder. In Speckle-tracking/-pattern study I found a mild
LV-wall-motion-disturbance. Troponin was positive. In coronary study we found a high-grade stenosis of RIVA compatible with the results of speckle-pattern-study.
What do you think? Does anybody have any experiences with that kind of stuff? Is it a suitable kind of study?
about 45 y old patient with the typical clinical afflictions of acute coronary syndrom for about 2 hours. In TTE you can see an apical/ septo-apical disturbance of LV-wall motion. The speckle tracking
demonstrates the accurate location of myocardial infarction. In cardiac catheter we found a coomplete acclusion of proximale RIVA: But is there really a need for speckle tracking?