ECHOCARDIOGRAPHIC PREDICTION OF THE FINAL EVENT IN PATIENTS DYING OF ACUTE MYOCARDIAL-INFARCTION

被引:1
作者
MIMO, R [1 ]
SPARACINO, L [1 ]
NICOLOSI, GL [1 ]
CERVESATO, E [1 ]
WEI, DR [1 ]
GRANDIS, U [1 ]
LESTUZZI, C [1 ]
RELLINI, GL [1 ]
CHARMET, PA [1 ]
ZANUTTINI, D [1 ]
机构
[1] OSPED CIVILE,CARDIOL ARC,I-33170 PORDENONE,ITALY
关键词
ECHOCARDIOGRAPHY; MYOCARDIAL INFARCTION; CARDIAC RUPTURE; PUMP FAILURE;
D O I
10.1093/eurheartj/14.6.775
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
From an autopsy series of 346 patients who died of acute myocardial infarction, we selected 36 cases for whom echocardiographic data preceding death were available: 17 cases died from a rupture of the left ventricularfree wall (group A) and 19 from pump failure (group B). Our aim was to investigate whether any echocardiographic parameter could predict the final event. The total wall motion score, regional wall motion score index and percent of abnormally contracting myocardium were calculated. Diastolic and systolic volumes, ejection fraction and the eccentricity index, as a rough indicator of the left ventricular shape, were also estimated. Interventricular septum and posterior wall thicknesses were also measured. All measured parameters were similar in both groups except posterior wall thickness. Even though an unavoidable selection bias is present in our series, we failed to identify any echocardiographic predictor of the final event in this patient group. © 1993 The European Society of Cardiology.
引用
收藏
页码:775 / 779
页数:5
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