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Updated: Aug 18, 2025

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

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Published on: February 8, 2022

Is follow-up echocardiogram mandatory after a STEMI?

Sathish Kumar Parasuraman¹, Janaki Srinivasan², Paul Broadhurst³

¹Musgrove Park Hospital, Taunton, UK.

Echo Research and Practice

|December 6, 2022

Summary

Routine echocardiograms after ST-segment elevation myocardial infarction (STEMI) are not standard unless ejection fraction is low. This case highlights a left ventricular pseudoaneurysm found 6 months post-STEMI, suggesting broader follow-up may be warranted.

Keywords:

2D echocardiography LV aneurysm aneurysm left ventricular pseudo-aneurysm post STEMI echo

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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

Area of Science:

Cardiology
Medical Imaging
Clinical Case Study

Background:

Current guidelines recommend follow-up echocardiograms post-ST-segment elevation myocardial infarction (STEMI) only if left ventricular ejection fraction is ≤40%.
This approach may overlook serious complications in patients with preserved ejection fraction.

Purpose of the Study:

To present a case of left ventricular pseudoaneurysm diagnosed 6 months after STEMI.
To question the current guideline's restrictive approach to post-STEMI echocardiogram follow-up.

Main Methods:

A case report detailing a patient's diagnosis and treatment.
Diagnostic imaging, specifically echocardiography, was utilized.

Main Results:

A left ventricular pseudoaneurysm was identified 6 months after the initial STEMI event.
The patient was successfully treated using a percutaneous closure device.

Conclusions:

This case suggests that routine echocardiogram follow-up after STEMI, even in patients with minimal symptoms and preserved ejection fraction, should be reconsidered.
Early detection of complications like pseudoaneurysms can lead to successful interventions.