48 — 7 (45) 2022 — Kenjaev S.R., Boltayev E.B., COMPARATIVE ANALYSIS OF METHODS FOR DIAGNOSING MYOCARDIAL STUNNING AFTER MYOCARDIAL INFARCTION

COMPARATIVE ANALYSIS OF METHODS FOR DIAGNOSING MYOCARDIAL STUNNING AFTER MYOCARDIAL INFARCTION

Kenjaev S.R., Republican Scientific Center of Emergency Medicine

Boltayev E.B., Republican Scientific Center of Emergency Medicine, Bukhara State Medical Institute

Resume

This review article presents the latest literature data on the diagnosis of myocardial stunning after myocardial infarction. Identification of viable myocardium in patients with MI allows predicting the development of adverse LV remodeling. It is very important in patients after a widespread myocardial infarction to determine the presence and extent of myocardial stunning. The recovery of LV function after revascularization depends on the volume of myocardial stunning. For an adequate assessment of myocardial stunning, it is important to use modern imaging methods: echocardiography, magnetic resonance imaging (MRI), stress echocardiography, multislice computed tomography (MSCT), PET, myocardial scintigraphy, which allow obtaining a high-quality image of the cavities and walls of the heart, in several projections , which makes it possible to fully analyze the perfusion of the walls and their geometric features. Low dose dobutamine stress-echocardiography does not differ from other expensive radionuclide methods in its high sensitivity and specificity for determining myocardial stunning.

Key words: acute myocardial infarction, myocardial viability, myocardial stunning, stress echocardiography.

First page

236

Last page

243

For citation: Kenjaev S.R., Boltayev E.B., COMPARATIVE ANALYSIS OF METHODS FOR DIAGNOSING MYOCARDIAL STUNNING AFTER MYOCARDIAL INFARCTION //New Day in Medicine 7(45)2022 236-243 https://l.clck.bar/44ae3

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