| The Doppler echocardiographic myocardial performance index predicts left-ventricular dilation and cardiac death after myocardial infarction. | |
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MedLine Citation:
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PMID: 11423716 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To investigate the value of the Doppler-derived myocardial performance index to predict early left-ventricular (LV) dilation and cardiac death after a first acute myocardial infarction (AMI), Doppler echocardiography was performed within 24 h of hospital admission, on day 5, 1 and 3 months after AMI in 125 consecutive patients. The index measured on day 1 correlated well with the change in end-diastolic volume index observed from day 1 to 3 months following AMI (r = 0.66, p < 0.0001). One-year survival in patients with Doppler index <0.63 was 89%, and 37% in patients with index > or = 0.63, (p < 0.0001). Multivariate analysis identified myocardial performance index > or = 0.63 (relative risk 5.6, p < 0.0001), E-wave deceleration time <140 ms (relative risk 2.7, p = 0.008) and Killip class > or = II (relative risk 4.0, p = 0.04) to be independent predictors of cardiac death. Therefore, we conclude that the Doppler echocardiographic myocardial performance index is a predictor of LV dilation and cardiac death after a first AMI. |
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Authors:
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J E Møller; E Søndergaard; S H Poulsen; K Egstrup |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Cardiology Volume: 95 ISSN: 0008-6312 ISO Abbreviation: Cardiology Publication Date: 2001 |
Date Detail:
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Created Date: 2001-06-25 Completed Date: 2001-09-13 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 1266406 Medline TA: Cardiology Country: Switzerland |
Other Details:
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Languages: eng Pagination: 105-11 Citation Subset: IM |
Copyright Information:
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Copyright 2001 S. Karger AG, Basel |
Affiliation:
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Department of Medicine, Svendborg Hospital, Svendborg, Denmark. jam@shf.fyns-amt.dk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Death Echocardiography, Doppler Humans Hypertrophy, Left Ventricular / etiology, mortality, ultrasonography* Middle Aged Mitral Valve Insufficiency / ultrasonography Multivariate Analysis Myocardial Infarction / complications, mortality, ultrasonography* Prognosis Regression Analysis Reproducibility of Results |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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