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Apical myocardial infarction

MedGen UID:
770959
•Concept ID:
C3642319
•
Finding
Synonyms: apical myocardial infarction; Apical Myocardial Infarction by ECG Finding; Apical Myocardial Infarction by EKG Finding
 
Monarch Initiative: MONDO:0003673

Definition

An electrocardiographic finding of an injury in leads corresponding to the anatomic region of the apex of the heart. [from NCI]

Professional guidelines

PubMed

Correlation between non-reversible thallium-201 myocardial perfusion defect and ECG criteria in the diagnosis of apical myocardial infarction.
Fiorina P, Pattoneri P, Paganelli C, Secchi A, Calbiani B, Astorri E
Int J Cardiol 2004 Jun;95(2-3):251-4. doi: 10.1016/j.ijcard.2003.10.003. PMID: 15193828
Apical hypertrophic cardiomyopathy: clinical follow-up and diagnostic correlates.
Webb JG, Sasson Z, Rakowski H, Liu P, Wigle ED
J Am Coll Cardiol 1990 Jan;15(1):83-90. doi: 10.1016/0735-1097(90)90180-w. PMID: 2295747
Inaccuracy of various proposed electrocardiographic criteria in the diagnosis of apical myocardial infarction--a critical review.
Giannuzzi P, Imparato A, Temporelli PL, Santoro F, Tavazzi L
Eur Heart J 1989 Oct;10(10):880-6. doi: 10.1093/oxfordjournals.eurheartj.a059396. PMID: 2598944

Recent clinical studies

Etiology

Detection of LV apical thrombus by three-dimensional transesophageal echocardiography.
Fazlinezhad A, Narayanasamy H, Wilansky S, Naqvi TZ
Echocardiography 2020 Jan;37(1):142-146. Epub 2019 Dec 16 doi: 10.1111/echo.14558. PMID: 31841222
"Apical thinning": Relations between myocardial wall thickness and apical left ventricular tracer uptake as assessed with positron emission tomography myocardial perfusion imaging.
Steffen DA, Giannopoulos AA, Grossmann M, Messerli M, Schwyzer M, Gräni C, Gebhard C, Pazhenkottil AP, Kaufmann PA, Buechel RR
J Nucl Cardiol 2020 Apr;27(2):452-460. Epub 2018 Aug 14 doi: 10.1007/s12350-018-1397-2. PMID: 30109592
Cardiac Rupture Due to Reinfarction in the Early Phase of Apical Myocardial Infarction.
Matsumura K, Kin H, Matsuki R, Adachi K, Goda T, Yamamoto Y, Sugiura T, Shiojima I
Int Heart J 2019 Jul 27;60(4):974-978. Epub 2019 Jun 14 doi: 10.1536/ihj.18-659. PMID: 31204378
Correlation between non-reversible thallium-201 myocardial perfusion defect and ECG criteria in the diagnosis of apical myocardial infarction.
Fiorina P, Pattoneri P, Paganelli C, Secchi A, Calbiani B, Astorri E
Int J Cardiol 2004 Jun;95(2-3):251-4. doi: 10.1016/j.ijcard.2003.10.003. PMID: 15193828
The role of antiplatelet therapy in acute coronary syndromes and for secondary prevention following a myocardial infarction.
Jafri SM, Zarowitz B, Goldstein S, Lesch M
Prog Cardiovasc Dis 1993 Jul-Aug;36(1):75-83. doi: 10.1016/0033-0620(93)90023-7. PMID: 8321905

Diagnosis

Detection of LV apical thrombus by three-dimensional transesophageal echocardiography.
Fazlinezhad A, Narayanasamy H, Wilansky S, Naqvi TZ
Echocardiography 2020 Jan;37(1):142-146. Epub 2019 Dec 16 doi: 10.1111/echo.14558. PMID: 31841222
Cardiac Rupture Due to Reinfarction in the Early Phase of Apical Myocardial Infarction.
Matsumura K, Kin H, Matsuki R, Adachi K, Goda T, Yamamoto Y, Sugiura T, Shiojima I
Int Heart J 2019 Jul 27;60(4):974-978. Epub 2019 Jun 14 doi: 10.1536/ihj.18-659. PMID: 31204378
Anteroseptal or apical myocardial infarction: a controversy addressed using delayed enhancement cardiovascular magnetic resonance imaging.
Selvanayagam JB, Kardos A, Nicolson D, Francis J, Petersen SE, Robson M, Banning A, Neubauer S
J Cardiovasc Magn Reson 2004;6(3):653-61. doi: 10.1081/jcmr-120038647. PMID: 15347130
Insensitivity of the electrocardiogram in apical myocardial infarction.
Rothfeld B, Fleg JL, Gottlieb SH
Am J Cardiol 1984 Mar 1;53(6):715-7. doi: 10.1016/0002-9149(84)90391-6. PMID: 6702618
Correlation of electrocardiographic and pathologic findings in healed myocardial infarction.
Sullivan W, Vlodaver Z, Tuna N, Long L, Edwards JE
Am J Cardiol 1978 Nov;42(5):724-32. doi: 10.1016/0002-9149(78)90090-5. PMID: 707285

Therapy

Delayed left ventricular apical thrombus formation following discontinuation of dual anti-platelet therapy.
Liou K, Lambros J
Heart Lung Circ 2014 Nov;23(11):e237-9. Epub 2014 Jun 28 doi: 10.1016/j.hlc.2014.06.007. PMID: 25127668
Acute non-ST elevation myocardial infarction following paclitaxel administration for ovarian carcinoma: a case report and review of literature.
Shah K, Gupta S, Ghosh J, Bajpai J, Maheshwari A
J Cancer Res Ther 2012 Jul-Sep;8(3):442-4. doi: 10.4103/0973-1482.103530. PMID: 23174732
Shoshin beriberi with vasospastic angina pectoris possible mechanism of mid-ventricular obstruction: possible mechanism of mid-ventricular obstruction.
Ito M, Tanabe Y, Suzuki K, Kumakura M, Aizawa Y
Circ J 2002 Nov;66(11):1070-2. doi: 10.1253/circj.66.1070. PMID: 12419944
Systolic anterior movement of mitral valve during acute apical myocardial infarction: An unusual mechanism of acute mitral regurgitation.
Di Chiara A, Plewka M, Fioretti PM
J Am Soc Echocardiogr 1999 Dec;12(12):1117-21. doi: 10.1016/s0894-7317(99)70113-6. PMID: 10588792
The role of antiplatelet therapy in acute coronary syndromes and for secondary prevention following a myocardial infarction.
Jafri SM, Zarowitz B, Goldstein S, Lesch M
Prog Cardiovasc Dis 1993 Jul-Aug;36(1):75-83. doi: 10.1016/0033-0620(93)90023-7. PMID: 8321905

Prognosis

Cardiac Rupture Due to Reinfarction in the Early Phase of Apical Myocardial Infarction.
Matsumura K, Kin H, Matsuki R, Adachi K, Goda T, Yamamoto Y, Sugiura T, Shiojima I
Int Heart J 2019 Jul 27;60(4):974-978. Epub 2019 Jun 14 doi: 10.1536/ihj.18-659. PMID: 31204378
Clinical value of echocardiographic assessment of coronary flow reserve after left anterior descending coronary artery stenting in an unselected population.
Citro R, Voci P, Pizzuto F, Maione AG, Patella MM, Bossone E, Provenza G, Gregorio G, Mariano E, Feinstein M, Athanassopoulos G, Puddu PE
J Cardiovasc Med (Hagerstown) 2008 Dec;9(12):1254-9. doi: 10.2459/JCM.0b013e328312954e. PMID: 19001933
Systolic anterior movement of mitral valve during acute apical myocardial infarction: An unusual mechanism of acute mitral regurgitation.
Di Chiara A, Plewka M, Fioretti PM
J Am Soc Echocardiogr 1999 Dec;12(12):1117-21. doi: 10.1016/s0894-7317(99)70113-6. PMID: 10588792
The role of antiplatelet therapy in acute coronary syndromes and for secondary prevention following a myocardial infarction.
Jafri SM, Zarowitz B, Goldstein S, Lesch M
Prog Cardiovasc Dis 1993 Jul-Aug;36(1):75-83. doi: 10.1016/0033-0620(93)90023-7. PMID: 8321905
Apical hypertrophic cardiomyopathy: clinical follow-up and diagnostic correlates.
Webb JG, Sasson Z, Rakowski H, Liu P, Wigle ED
J Am Coll Cardiol 1990 Jan;15(1):83-90. doi: 10.1016/0735-1097(90)90180-w. PMID: 2295747

Clinical prediction guides

"Apical thinning": Relations between myocardial wall thickness and apical left ventricular tracer uptake as assessed with positron emission tomography myocardial perfusion imaging.
Steffen DA, Giannopoulos AA, Grossmann M, Messerli M, Schwyzer M, Gräni C, Gebhard C, Pazhenkottil AP, Kaufmann PA, Buechel RR
J Nucl Cardiol 2020 Apr;27(2):452-460. Epub 2018 Aug 14 doi: 10.1007/s12350-018-1397-2. PMID: 30109592
Cardiac Rupture Due to Reinfarction in the Early Phase of Apical Myocardial Infarction.
Matsumura K, Kin H, Matsuki R, Adachi K, Goda T, Yamamoto Y, Sugiura T, Shiojima I
Int Heart J 2019 Jul 27;60(4):974-978. Epub 2019 Jun 14 doi: 10.1536/ihj.18-659. PMID: 31204378
Clinical value of echocardiographic assessment of coronary flow reserve after left anterior descending coronary artery stenting in an unselected population.
Citro R, Voci P, Pizzuto F, Maione AG, Patella MM, Bossone E, Provenza G, Gregorio G, Mariano E, Feinstein M, Athanassopoulos G, Puddu PE
J Cardiovasc Med (Hagerstown) 2008 Dec;9(12):1254-9. doi: 10.2459/JCM.0b013e328312954e. PMID: 19001933
Correlation of electrocardiographic and pathologic findings in healed myocardial infarction.
Sullivan W, Vlodaver Z, Tuna N, Long L, Edwards JE
Am J Cardiol 1978 Nov;42(5):724-32. doi: 10.1016/0002-9149(78)90090-5. PMID: 707285

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