Doppler ultrasound of myocardial tissue in patients with myocardial ischemia

This article was professionally consulted by a Doctor of Radiology, Department of Radiology - Vinmec Central Park International General Hospital.

Ischemic heart disease is a disease that tends to increase rapidly in developing countries. The disease has a high risk of death, increasing the burden of medical costs. In the diagnostic methods of ischemic heart disease, Doppler ultrasound of myocardial tissue is a technique that is being widely applied today.

Chronic ischemic heart disease is also known as stable angina, chronic coronary artery disease, or coronary insufficiency. This is a fairly common disease in developed countries, and has been increasing rapidly in developing countries in recent years.
Ischemic heart disease is a disease that occurs when blood flow to the heart is reduced, causing the heart to not receive enough oxygen needed for contraction and ejection. Reduced blood flow to the heart is the result of part or all of the branches of the heart's arteries (coronary arteries) becoming blocked. Myocardial ischemia reduces the pumping ability of the heart, causing damage to the heart muscle, which can lead to arrhythmias and myocardial infarction.
Some patients with ischemic heart disease have no symptoms. However, when symptoms appear, the most common is chest pain (angina), mainly pain on the left side of the body. Symptoms of angina may occur daily or occasionally appear with the following characteristics:
Chest pain spreading to the left arm, back, neck and jaw; Pain symptoms occur more often when the patient exerts himself or does heavy work; The pain is usually short-lived (no more than 5 minutes); May be accompanied by symptoms of flatulence, indigestion, fatigue, shortness of breath, sweating, etc. When these symptoms are present, it is necessary to seek immediate medical attention to diagnose and treat the disease in time, to avoid risks. undesirable side effects occur. In case the patient has symptoms such as: severe angina for more than 5 minutes, unusual cold sweats, nausea or vomiting, pain in the neck, jaw, shoulders and arms, shortness of breath, shortness of breath, etc. .. should be treated promptly because it is a warning sign of a heart attack.
For patients diagnosed with myocardial ischemia, it is necessary to change bad habits and build an active lifestyle. Lifestyle changes contribute significantly to the success of the treatment process. You can refer to some tips of cardiologist Do Xuan Chien specifically for people with ischemic heart disease.

Ischemic heart disease can cause many dangerous complications, increasing the burden of medical and social care costs for patients, so early diagnosis and treatment is always a matter of special concern. .
Over the years, echocardiography (especially transthoracic echocardiography) has been the first method of choice for assessing cardiac function. However, there are many patients with a diagnosis of chronic ischemic heart disease, but on routine ultrasound, no regional movement disorders have been detected, showing early left ventricular systolic and diastolic dysfunction. Changes in left ventricular function of these patients need to be investigated by modern imaging methods such as myocardial magnetic resonance imaging, myocardial perfusion scintigraphy and Doppler ultrasound.
Doppler echocardiography (TDI) has been shown to be a sensitive and highly specific non-bleeding method in assessing the function of each ventricular region in the diagnosis of ischemic heart disease.
Pulsed tissue Doppler ultrasound directly studies the movement of the heart muscle. This method allows the doctor to accurately assess the function of each part of the heart muscle, which is very sensitive to stimuli that affect the contraction of the heart muscle and to stimuli that cause ischemia.
Doppler echocardiography of the myocardium can also detect microvascular or structural changes before abnormal symptoms appear on conventional ultrasound methods.
Therefore, this is a very accurate method of assessing the effect of myocardial ischemia on left ventricular function. At the same time, this technique is also quite simple to perform, does not require complicated software, provides valuable information for the diagnosis of both systolic and diastolic function of the left ventricle.

Thus, it can be seen that Doppler ultrasound of myocardial tissue is a method of diagnosis of ischemic heart disease with high accuracy and safety. When performing this technique, the patient needs to follow all the instructions of the doctor to ensure a smooth diagnosis process and accurate diagnosis results.
Doppler ultrasound of myocardium is a method performed routinely at Vinmec International General Hospital and is equipped with a modern echocardiogram system and equipment on par with the most prestigious hospitals in the world. The world supports doctors in the treatment of cardiovascular diseases for patients. Along with that is a team of experts including experienced professors and doctors who have successfully performed many surgeries for patients with heart disease.
In addition, to protect cardiovascular health in general and detect early signs of myocardial infarction and stroke, customers can sign up for Cardiovascular Screening Package - Basic Cardiovascular Examination at General Hospital Vinmec International. Closely implemented examination package helps to detect cardiovascular problems at the earliest through tests and modern imaging methods. The package is for all ages, genders and is especially essential for people with risk factors for cardiovascular disease.