Document Detail


The Doppler echocardiographic myocardial performance index predicts left-ventricular dilation and cardiac death after myocardial infarction.
MedLine Citation:
PMID:  11423716     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
J E Møller; E Søndergaard; S H Poulsen; K Egstrup
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiology     Volume:  95     ISSN:  0008-6312     ISO Abbreviation:  Cardiology     Publication Date:  2001  
Date Detail:
Created Date:  2001-06-25     Completed Date:  2001-09-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1266406     Medline TA:  Cardiology     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  105-11     Citation Subset:  IM    
Copyright Information:
Copyright 2001 S. Karger AG, Basel
Affiliation:
Department of Medicine, Svendborg Hospital, Svendborg, Denmark. jam@shf.fyns-amt.dk
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MeSH Terms
Descriptor/Qualifier:
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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