Document Detail


Late ventricular dilatation in survivors of acute myocardial infarction.
MedLine Citation:
PMID:  2530880     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to assess the natural course of left ventricular (LV) volumes in the convalescent phase of acute myocardial infarction (AMI). Fifty-seven patients were examined 2 weeks and approximately 1 year after AMI by a radionuclide method allowing determination of absolute LV volumes. After 1 year the patients had fewer clinical and radiologic signs of heart failure, but median end-diastolic volume index had increased from 92 to 112 ml/m2 (p less than 0.001), median end-systolic volume index from 51 to 65 ml/m2 (p less than 0.001) and median stroke volume index from 39 to 47 ml/m2 (p less than 0.001). Patients with first anterior infarcts had significantly greater increases in end-diastolic volume index, end-systolic volume index and stroke volume index than patients with first inferoposterior infarcts. The increase in LV volumes was significantly greater in patients with clinical manifestations of heart failure than in those without these signs. Notably, changes in LV size had an unpredictable effect on LV ejection fraction.
Authors:
N Gadsbøll; P F Høilund-Carlsen; J H Badsberg; P Stage; J Marving; H Lønborg-Jensen
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of cardiology     Volume:  64     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1989 Nov 
Date Detail:
Created Date:  1989-12-04     Completed Date:  1989-12-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  961-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Clinical Physiology, Glostrup Hospital, Denmark.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cardiomegaly / etiology*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Myocardial Infarction / complications*,  diagnosis,  drug therapy,  physiopathology
Physical Examination
Predictive Value of Tests
Prospective Studies
Radiography, Thoracic
Radionuclide Ventriculography
Stroke Volume
Time Factors

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


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