| Angiographic predictors of left ventricular ejection fraction after successful angioplasty in acute myocardial infarction: an angiographic risk score for use in the catheterization laboratory. | |
| | |
MedLine Citation:
|
PMID: 14988892 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We investigated the value of angiographic parameters in patients with successful primary angioplasty using a simple angiographic risk score. In 608 consecutive patients, we assessed the infarct-related artery, antegrade flow before treatment, presence of distal embolization, and myocardial blush grade after coronary angioplasty. LAD-related infarction (OR = 8.4; 3 points), TIMI 0-2 flow before angioplasty (OR = 2.2; 1 point), myocardial blush 0 or 1 (OR = 2.5; 1 point), and distal embolization (OR = 2.2; 1 point) were independent predictors of left ventricular ejection fraction (LVEF) < or = 40% after successful angioplasty. Patients with 0 (minimum) or 1 point have LVEF of 49.5% +/- 8.4% and 30-day mortality of 0.8%. Patients with 2-3 points have LVEF of 44.9% +/- 10.3% and 30-day mortality of 2.8%. Patients with 4 points have LVEF of 38.2% +/- 10.8% and 30-day mortality of 2.7%. Patients with 5-6 (maximum) points have LVEF of 32.0% +/- 9.4% and 30-day mortality of 6.9%. A simple angiographic score predicts LVEF and mortality in patients when leaving the catheterization laboratory after successful primary angioplasty for acute myocardial infarction. |
| | |
Authors:
|
Jose P S Henriques; Felix Zijlstra; Jan Paul Ottervanger; Menko-Jan de Boer; Jan-Henk E Dambrink; A T Marcel Gosselink; Arnoud W J van 't Hof; Jan C A Hoorntje; Harry Suryapranata |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: 61 ISSN: 1522-1946 ISO Abbreviation: Catheter Cardiovasc Interv Publication Date: 2004 Mar |
Date Detail:
|
Created Date: 2004-02-27 Completed Date: 2004-06-25 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: United States |
Other Details:
|
Languages: eng Pagination: 338-43 Citation Subset: IM |
Copyright Information:
|
Copyright 2004 Wiley-Liss, Inc. |
Affiliation:
|
Department of Cardiology, Isala Klinieken, Zwolle, The Netherlands. v.derks@diagram-zwolle.nl |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Angioplasty, Transluminal, Percutaneous Coronary* Coronary Angiography* Female Heart Catheterization Humans Laboratories, Hospital Male Middle Aged Multivariate Analysis Myocardial Infarction / radiography*, radionuclide imaging, therapy* Myocardial Reperfusion Predictive Value of Tests Prospective Studies Stroke Volume* Ventricular Function, Left / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Effectiveness of right or left radial approach for coronary angiography.
Next Document: Percutaneous treatment of focal vs. diffuse in-stent restenosis: a prospective randomized comparison...