Document Detail

Heart failure post-myocardial infarction: a review of the issues.
MedLine Citation:
PMID:  15831607     Owner:  NLM     Status:  MEDLINE    
In most patients with heart failure due to left ventricular systolic dysfunction, the underlying cause is coronary heart disease. To reduce progression to heart failure in a patient with acute myocardial infarction, it is important to achieve the earliest possible reperfusion, whether by thrombolysis or primary percutaneous coronary intervention. Every patient with acute myocardial infarction should have an assessment of their left ventricular function, the potential for reversibility should be considered, and reversible ischaemia should be identified. Left ventricular dysfunction does not only occur with ST segment elevation myocardial infarction but is also commonly associated with non-ST segment elevation myocardial infarction. Secondary prevention is crucial and this requires long term commitment by the patient and the health care system. Heart failure and left ventricular dysfunction are treatable but require a multidisciplinary, integrated network approach.
H Dargie
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Heart (British Cardiac Society)     Volume:  91 Suppl 2     ISSN:  1468-201X     ISO Abbreviation:  Heart     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-04-15     Completed Date:  2005-07-07     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9602087     Medline TA:  Heart     Country:  England    
Other Details:
Languages:  eng     Pagination:  ii3-6; discussion ii31, ii43-8     Citation Subset:  AIM; IM    
Western Infirmary, Dumbarton Road, Glasgow G11 6NT, UK.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / methods
Cardiac Pacing, Artificial / methods
Heart Failure / etiology,  prevention & control*
Magnetic Resonance Angiography
Myocardial Infarction / complications,  therapy*
Myocardial Revascularization / methods
Thrombolytic Therapy / methods
Ventricular Dysfunction, Left / complications,  therapy*
Ventricular Remodeling / physiology

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

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