Document Detail


Prognostic significance of regional wall motion abnormality in patients with prior myocardial infarction: a prospective correlative study of two-dimensional echocardiography and angiography.
MedLine Citation:
PMID:  3951257     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this pilot study of 50 consecutive patients with prior myocardial infarction, the results of two-dimensional echocardiographic and angiographic analysis of wall motion abnormalities were correlated, and their prognostic significance was determined. There was overall good agreement (88%) between the two methods. In general, the greater the left ventricular dysfunction, the worse was the prognosis. The 3-year survival was significantly reduced for patients with a left ventricular wall motion score index of 2.5 or greater (P = 0.024). These findings were essentially similar to the reduced survival rate associated with decreased angiographic ejection fractions (less than 40%). This study suggests that two-dimensional echocardiography, a noninvasive and relatively inexpensive technique, can provide prognostic information in patients with prior myocardial infarction.
Authors:
A Shiina; A J Tajik; H C Smith; M Lengyel; J B Seward
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Mayo Clinic proceedings     Volume:  61     ISSN:  0025-6196     ISO Abbreviation:  Mayo Clin. Proc.     Publication Date:  1986 Apr 
Date Detail:
Created Date:  1986-04-22     Completed Date:  1986-04-22     Revised Date:  2013-12-13    
Medline Journal Info:
Nlm Unique ID:  0405543     Medline TA:  Mayo Clin Proc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  254-62     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Actuarial Analysis
Adult
Aged
Aneurysm / radiography
Cardiac Catheterization
Cineangiography / methods*
Coronary Disease / radiography
Echocardiography / methods*
Female
Heart / physiopathology*
Humans
Male
Middle Aged
Myocardial Contraction
Myocardial Infarction / mortality,  physiopathology*,  radiography
Prognosis
Prospective Studies
Stroke Volume

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


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