Long-term outcome and the use of revascularization in patients with heart failure, suspected ischemic heart disease, and large reversible myocardial perfusion defects

Background The potential role of coronary revascularization in the management of patients with congestive heart failure and suspected ischemic heart disease remains to be defined. Myocardial perfusion imaging can identify patients with ischemic heart disease as the etiology for left ventricular dysf...

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Bibliographic Details
Published in:The American heart journal 2002-05, Vol.143 (5), p.904-909
Main Authors: Miller, Wayne L., Tointon, Susan K., Hodge, David O., Nelson, Susan M., Rodeheffer, Richard J., Gibbons, Raymond J.
Format: Article
Language:English
Subjects:
Aged
Angioplasty
Angioplasty, Balloon, Coronary
Biological and medical sciences
Cardiology
Cardiology. Vascular system
Cardiovascular disease
Coronary Artery Bypass
Coronary Circulation
Coronary vessels
Female
Follow-Up Studies
Heart
Heart attacks
Heart Failure - complications
Heart Failure - mortality
Heart Failure - surgery
Heart failure, cardiogenic pulmonary edema, cardiac enlargement
Humans
Male
Medical imaging
Medical sciences
Mortality
Myocardial Ischemia - complications
Myocardial Ischemia - mortality
Myocardial Ischemia - surgery
Myocardial Revascularization
Retrospective Studies
Stroke Volume
Treatment Outcome
Ventricular Dysfunction, Left - etiology
Ventricular Dysfunction, Left - mortality
Ventricular Dysfunction, Left - physiopathology
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Summary:Background The potential role of coronary revascularization in the management of patients with congestive heart failure and suspected ischemic heart disease remains to be defined. Myocardial perfusion imaging can identify patients with ischemic heart disease as the etiology for left ventricular dysfunction who might benefit from revascularization. Methods We retrospectively identified heart failure patients with suspected ischemic heart disease who had large reversible perfusion defects to determine their long-term outcome and rate of revascularization. The study group consisted of 77 patients with congestive heart failure, left ventricular ejection fraction
ISSN:0002-8703
1097-6744
DOI:10.1067/mhj.2002.120153