| Comparison of clinical signs and hemodynamic state in the early hours of transmural myocardial infarction. | |
| | |
MedLine Citation:
|
PMID: 7113891 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The initial PCW, Killip-Scheidt classification, presence of third heart sound, and mortality were compared in 90 patients presenting with acute transmural myocardial infarction. Clinical and hemodynamic assessment was performed within 12 hours (time to clinical classification = 4.7 +/- 2.7 hours (mean +/- SD), time to hemodynamic assessment = 5.8 +/- 2.4) of the sentinel event. A poor correlation was observed between early Killip-Scheidt clinical classification and early hemodynamic state when measured as percent correct classification (66%) or as a Kappa statistic (36% for the total population, 9% for nonsurvivors). Increased initial LVFP (greater than 18 mm Hg) was associated with increased mortality (p less than 0.01) and early clinical classification was not. Addition of third heart sound information did not alter this observation. |
| | |
Authors:
|
W E Shell; M A DeWood; T Peter; D Mickle; J A Prause; J S Forrester; H J Swan |
Publication Detail:
|
Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: American heart journal Volume: 104 ISSN: 0002-8703 ISO Abbreviation: Am. Heart J. Publication Date: 1982 Sep |
Date Detail:
|
Created Date: 1982-10-12 Completed Date: 1982-10-12 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0370465 Medline TA: Am Heart J Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 521-8 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Heart Sounds Hemodynamics* Humans Male Middle Aged Myocardial Infarction / diagnosis*, mortality Physical Examination Pulmonary Wedge Pressure Stroke Volume |
| Grant Support | |
ID/Acronym/Agency:
|
HL 17651/HL/NHLBI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Practical approach to the loss of smell.
Next Document: Mechanism of action of hyaluronidase in decreasing myocardial ischemia post coronary occlusion in th...