[Evaluation and identification of the extension of acute XXXX and its complications by bidimensional echocardiography].

@entity1 @entity2915 @entity583 @entity67 @entity1455 @entity121 @entity715
Fifty three consecutive @entity1 with @entity583 underwent two-dimensional echocardiography 1-3 days after admission. In order to (1) determine if this procedure can detect regional ventricular asynergy in an unselected series of @entity1 . (2) to determine whether the procedure can identify @entity1 at high risk for @entity1455 , before the onset of hemodynamic deterioration and (3) to identify the inmmediate complications of @entity583 . For purposes of analysis of the present protocol, the ventricles were divided in a system of walls, segments and levels resulting in 22 potential regions. Technically satisfactory two-dimensional echocardiographic studies were obtained in 48 @entity1 (90.56%). Of 1056 possible segments in the 48 @entity1 all were deemed adequate for analysis. Akinesis was detected in 2 segments (0.18%), dyskinesis in 45 segments (4.26%), hypokinesis in 170 (16.09%), @entity2915 15 (1.42%) and normal 824 (78.03%). The more segments damaged were observed by two dimensional echo, the more clinical and hemodinamically compromised status of the @entity1 was assessed. The immediate complications were as follows: Pericardial effusion 20 cases (45.45%), @entity67 14 (31.81%), mural @entity715 (13.63%) @entity121 3 (16.81%) ruptured septum in 1 (2.27%). Thus two-dimensional echocardiography performed soon after admission to the coronary care unit is technically feasible, provides useful information concerning regional and global left ventricular function and offers important predictive information about @entity1 early in @entity583 .(ABSTRACT TRUNCATED AT 250 WORDS)
