| Noninvasive risk assessment after myocardial infarction. | |
| | |
MedLine Citation:
|
PMID: 8513546 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Mortality from acute myocardial infarction is substantially less than it was two and even one decade ago. This improvement in both short-term and postdischarge outcome results both from early interventions to restore myocardial perfusion and mitigate expansion and remodeling, and from later assessment and management of functional status at the time of hospital discharge. OBJECTIVE: Recent studies suggest that invasive evaluation of the patient who has had a myocardial infarction (MI) should not be recommended on a routine basis. This review provides an approach to the noninvasive assessment of the patient. DISCUSSION: Stress testing to ascertain post-MI ischemia, ejection fraction determination to evaluate ventricular volumes and function, and ambulatory electrocardiographic monitoring, electrophysiologic study, and signal-averaged electrocardiography to assess presence and type of ventricular ectopy are discussed. CONCLUSION: The approach to the post-MI patient offered herein is felt to be medically sound and cost-effective. Refinement and alterations in this approach will be necessary as outcomes in specific patient groups, such as thrombolysis patients, women, and the elderly, become clearer. |
| | |
Authors:
|
N Goldschlager |
Related Documents
:
|
18276906 - Impact of asymmetric dimethylarginine on mortality after acute myocardial infarction. 19095316 - Long-term prognostic importance of resting heart rate in patients with left ventricular... 16649726 - Assessment of markers of thrombin generation in patients with acute myocardial infarcti... 20380836 - Atf6 is important under both pathological and physiological states in the heart. 10196506 - Right lateral transthoracic approach mimicking standard transesophageal echocardiograph... 12736096 - Transient global amnesia associated with an acute infarction in the retrosplenium of th... |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: Cleveland Clinic journal of medicine Volume: 60 ISSN: 0891-1150 ISO Abbreviation: Cleve Clin J Med Publication Date: 1993 May-Jun |
Date Detail:
|
Created Date: 1993-07-21 Completed Date: 1993-07-21 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8703441 Medline TA: Cleve Clin J Med Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 245-51 Citation Subset: IM |
Affiliation:
|
Cardiology Division, San Francisco General Hospital, CA 94110. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Arrhythmias, Cardiac
/
diagnosis,
etiology* Electrocardiography Exercise Test Humans Myocardial Infarction / complications*, mortality, physiopathology Myocardial Ischemia / diagnosis, etiology* Risk Factors Stroke Volume |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Noninfectious respiratory disease in pregnancy.
Next Document: A medical approach to nicotine addiction treatment.