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Lani · 10-13-2007, 12:47 AM

detection of a saddle thrombus in the pulmonary artery in someone with chest pain...

J Am Soc Echocardiogr. 2007 Oct;20(10):1220.e1-3. Epub 2007 Jun 13. Links
Contrast echocardiography in acute chest pain.

McCabe C, Dwivedi G, Senior R.
Department of Cardiology, Northwick Park Hospital, Harrow, United Kingdom.
A 45-year-old man presented with atypical central chest pain and ST-T changes on electrocardiogram. Repeated arterial blood gas examinations were unremarkable and portable echocardiography demonstrated mildly dilated right atrium and ventricle. Initial treatment for acute coronary syndrome was initiated, as there was evidence of myocardial necrosis on blood examination. However, use of contrast agent enabled visualization of saddle embolus in the pulmonary artery on 2-dimensional echocardiography, which was later confirmed on computed tomographic pulmonary angiography. The patient subsequently made an uneventful recovery. Use of contrast agents in accident and emergency as a bedside tool can be very useful in patients with atypical presentation.
PMID: 17570636 [PubMed - in process]

Diagnostic and prognostic use of stress echo in acute coronary syndromes including emergency department imaging. [Echocardiography. 2000]
Usefulness of 64-slice cardiac computed tomographic angiography for diagnosing acute coronary syndromes and predicting clinical outcome in emergency department patients with chest pain of uncertain origin. [Circulation. 2007]
Italian Society of Cardiovascular Echography (SIEC) Consensus Conference on the state of the art of contrast echocardiography. [Ital Heart J. 2004]

10-13-2007, 12:47 AM	#20
Lani Senior Member Join Date: Mar 2006 Posts: 4,783	another use of contrast echocardiography unrelated to herceptin detection of a saddle thrombus in the pulmonary artery in someone with chest pain... J Am Soc Echocardiogr. 2007 Oct;20(10):1220.e1-3. Epub 2007 Jun 13. Links Contrast echocardiography in acute chest pain. McCabe C, Dwivedi G, Senior R. Department of Cardiology, Northwick Park Hospital, Harrow, United Kingdom. A 45-year-old man presented with atypical central chest pain and ST-T changes on electrocardiogram. Repeated arterial blood gas examinations were unremarkable and portable echocardiography demonstrated mildly dilated right atrium and ventricle. Initial treatment for acute coronary syndrome was initiated, as there was evidence of myocardial necrosis on blood examination. However, use of contrast agent enabled visualization of saddle embolus in the pulmonary artery on 2-dimensional echocardiography, which was later confirmed on computed tomographic pulmonary angiography. The patient subsequently made an uneventful recovery. Use of contrast agents in accident and emergency as a bedside tool can be very useful in patients with atypical presentation. PMID: 17570636 [PubMed - in process] Diagnostic and prognostic use of stress echo in acute coronary syndromes including emergency department imaging. [Echocardiography. 2000] Usefulness of 64-slice cardiac computed tomographic angiography for diagnosing acute coronary syndromes and predicting clinical outcome in emergency department patients with chest pain of uncertain origin. [Circulation. 2007] Italian Society of Cardiovascular Echography (SIEC) Consensus Conference on the state of the art of contrast echocardiography. [Ital Heart J. 2004]