From PCI MENA Conference – Quick Clinical Reminder
From PCI MENA Conference – Quick Clinical Reminder:
During the evaluation of suspected MI or STEMI, don’t skip the basics: place your stethoscope and perform a quick bedside echo when available.
Both the ESC and ACC/AHA guidelines support the use of bedside echocardiography in the evaluation of patients with suspected MI(STEMI or NSTEMI) -level of indication is Class IIa”see below”, especially when there is diagnostic uncertainty or suspicion of mechanical complications.
So guidelines for the management of acute coronary syndromes (ACS), bedside echocardiography is recommended in patients with suspected myocardial infarction (MI) when there is uncertainty in diagnosis or suspicion of mechanical complications. This recommendation is classified as Class IIa, Level of Evidence C, indicating that the weight of evidence or opinion is in favor of usefulness or efficacy, but the evidence is based on consensus or expert opinion.
Additionally, auscultation remains a fundamental clinical skill in the assessment of patients with suspected MI. The presence of new murmurs, such as a holosystolic murmur suggestive of mitral regurgitation or a harsh systolic murmur indicative of ventricular septal defect, can provide critical clues to the presence of mechanical complications.