Right and left ventricular ejection fractions: Relation to one-year prognosis in acute myocardial infarction

Right and left ventricular ejection fractions (RVEF and LVEF) were measured by radionuclide angiography in 423 patients with acute myocardial infarction (AMI). All investigations were performed at hospital discharge. Of 304 patients with first AM1, 26% had normal ejection fractions, 10% hada decreas...

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Bibliographic Details
Published in:European heart journal 1987-11, Vol.8 (11), p.1201-1209
Main Authors: GADSBøLL, N., HØILUND-CARLSEN, P. F., MADSEN, E. B., MARVING, J., PEDERSEN, A., LØNBORG-JENSEN, H., DIGE-PETERSEN, H., JENSEN, B. H.
Format: Article
Language:English
Subjects:
Acute myocardial infarction
Adult
Aged
Aged, 80 and over
ejection fraction
Erythrocytes
Evaluation Studies as Topic
Female
Follow-Up Studies
Humans
Male
Middle Aged
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - mortality
Myocardial Infarction - physiopathology
Patient Discharge
Prognosis
Radionuclide Imaging
Recurrence
Stroke Volume
Technetium
Technetium Tc 99m Medronate
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Summary:Right and left ventricular ejection fractions (RVEF and LVEF) were measured by radionuclide angiography in 423 patients with acute myocardial infarction (AMI). All investigations were performed at hospital discharge. Of 304 patients with first AM1, 26% had normal ejection fractions, 10% hada decrease in RVEF only, 46% a decrease in LVEF only, and 18% decrease in both RVEF and LVEF. Death from cardiac causes occurred in 52 patients in a one-year follow-up period. A reduced RVEF at hospital discharge had little, if any, relation to one-year mortality. In contrast, there was an inverse curvilinear relationship between LVEF and one-year cardiac mortality.
ISSN:0195-668X
1522-9645
DOI:10.1093/oxfordjournals.eurheartj.a062193