Document Detail


Use of vital capacity for cardiac failure risk estimation in persons with coronary disease and left ventricular hypertrophy.
MedLine Citation:
PMID:  8651087     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiac failure is a common lethal outcome of coronary heart disease and left ventricular hypertrophy. The efficacy of forced vital capacity (FVC), measured biennially, in predicting the onset of cardiac failure was explored in 818 Framingham Study subjects with those predisposing conditions, among 324 developed cardiac failure. Among the men and women who had coronary disease or left ventricular hypertrophy, those with FVCs in the lower quartile were at substantially increased risk of developing cardiac failure. For men, comparing the lowest quartile with men whose FVCs were in the highest quartile (<2.7 L vs >5.6 L), the risk ratio was 1.8; for women with FVCs <1.7 L, the risk was 2.3 times those with FVCs of > or = 3.5L. The excess risk of cardiac failure imposed by a low FVC was similar in those with coronary disease and left ventricular hypertrophy. The simple FVC is an inexpensive and robust predictor of cardiac failure in persons predisposed by coronary disease or left ventricular hypertrophy. FVC determination should help identify candidates for cardiac failure needing echocardiographic examination for ventricular dysfunction.
Authors:
W B Kannel; R B D'Agostino; H Silbershatz
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of cardiology     Volume:  77     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1996-07-25     Completed Date:  1996-07-25     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1155-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, Evans Memorial Research Foundation, Boston, Massachusetts, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Cardiac Output, Low / complications,  physiopathology*
Coronary Disease / complications,  physiopathology*
Female
Humans
Hypertrophy, Left Ventricular / complications,  physiopathology*
Male
Middle Aged
Predictive Value of Tests
Prospective Studies
Vital Capacity*
Grant Support
ID/Acronym/Agency:
N01-HV-52971/HV/NHLBI NIH HHS; N01-HV-92922/HV/NHLBI NIH HHS

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


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