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Posted By: ohtusabes (2019 days ago)

Hi Jörg. The famous "apical cap"... maybe he don´t have any motion
abnormalities in a cup of weeks.

Posted By: Emmel (2020 days ago)

Hello Pablo!
That infarction was really bad, when the patient
came to us. No coronary risk factors despite of male gender. />Sorry, in Germany we still use the "old" term for coronary arteries:
RIVA (ramus interventricularis anterior) = LAD (left anterior

But I dont know, whether speckle tracking
shows us the whole dimension of disturbance of wall-motion. You are
right: in TTE I´m also under the impression of a hypokinesia of
medium and apikal lateral wall but speckle trackin doesn´t show that.
But I will try it again!
By the way: after 10 days we only see a
very small hypokinesia of apex (LV-EF ca. 55%); the patient is keeping
well! In this case cardiologist can help patients :-)

Posted By: ohtusabes (2022 days ago)

Hello Jörg. Excelent TTE! Congratulations.

In 2D looks a
very large infarction:

hypokin of lateral in medium and
apical segments
hypo septal medium and apical
Hypo anterior medium and apical
Inferior wall
Well compensation in the rest of segments.
/>Speckle say the same? RIVA do you refer to LAD artery?
/>Best wishes my friend

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Added: 29-12-2012
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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?

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