Document Detail

Stroke distance in acute myocardial infarction: a simple measurement of left ventricular function.
MedLine Citation:
PMID:  2567383     Owner:  NLM     Status:  MEDLINE    
Stroke distance was measured by means of doppler ultrasound in 100 consecutive patients with acute myocardial infarction. Mean stroke distance on days 1-5 after infarction was 72% of the predicted normal value for age and rose to 77% of normal by days 6-10. Stroke distance was lower after anterior (65%) than inferior infarction (75%), and was negatively correlated with peak serum aspartate aminotransferase (r = 0.47, p less than 0.001). Of 16 patients whose stroke distance on days 1-5 was below 50% of normal for age, 4 died, all within the first week. Of 84 patients whose stroke distance was 50% of normal or higher, only 1 died (at 13 days). The simple bedside measurement of stroke distance offers a practical method of monitoring left ventricular function in acute myocardial infarction: the measurement may have prognostic value.
M J Metcalfe; J M Rawles
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Lancet     Volume:  1     ISSN:  0140-6736     ISO Abbreviation:  Lancet     Publication Date:  1989 Jun 
Date Detail:
Created Date:  1989-07-18     Completed Date:  1989-07-18     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1371-3     Citation Subset:  AIM; IM    
Cardiac Department, Aberdeen Royal Infirmary.
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MeSH Terms
Cardiac Output
Evaluation Studies as Topic
Follow-Up Studies
Heart Ventricles / physiopathology
Middle Aged
Myocardial Infarction / pathology,  physiopathology*
Regression Analysis
Stroke Volume
Comment In:
Lancet. 1989 Jul 29;2(8657):268-9   [PMID:  2569067 ]

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