Document Detail

Comparison of clinical signs and hemodynamic state in the early hours of transmural myocardial infarction.
MedLine Citation:
PMID:  7113891     Owner:  NLM     Status:  MEDLINE    
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.
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    
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MeSH Terms
Heart Sounds
Middle Aged
Myocardial Infarction / diagnosis*,  mortality
Physical Examination
Pulmonary Wedge Pressure
Stroke Volume
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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