TY - JOUR
T1 - Prognostic Significance of Regional Wall Motion Abnormality in Patients With Prior Myocardial Infarction
T2 - A Prospective Correlative Study of Two-Dimensional Echocardiography and Angiography
AU - SHIINA, AKIRA
AU - TAJIK, A. JAMIL
AU - SMITH, HUGH C.
AU - LENGYEL, MARIA
AU - SEWARD, JAMES B.
PY - 1986
Y1 - 1986
N2 - In this pilot study of 50 consecutive patients with prior myocardial infarction, the results of two-dimensional echocardiographic and angiographic analysis of wall motion abnormalities were correlated, and their prognostic significance was determined. There was overall good agreement (88%) between the two methods. In general, the greater the left ventricular dysfunction, the worse was the prognosis. The 3-year survival was significantly reduced for patients with a left ventricular wall motion score index of 2.5 or greater (P = 0.024). These findings were essentially similar to the reduced survival rate associated with decreased angiographic ejection fractions (less than 40%). This study suggests that two-dimensional echocardiography, a noninvasive and relatively inexpensive technique, can provide prognostic information in patients with prior myocardial infarction.
AB - In this pilot study of 50 consecutive patients with prior myocardial infarction, the results of two-dimensional echocardiographic and angiographic analysis of wall motion abnormalities were correlated, and their prognostic significance was determined. There was overall good agreement (88%) between the two methods. In general, the greater the left ventricular dysfunction, the worse was the prognosis. The 3-year survival was significantly reduced for patients with a left ventricular wall motion score index of 2.5 or greater (P = 0.024). These findings were essentially similar to the reduced survival rate associated with decreased angiographic ejection fractions (less than 40%). This study suggests that two-dimensional echocardiography, a noninvasive and relatively inexpensive technique, can provide prognostic information in patients with prior myocardial infarction.
UR - https://www.scopus.com/pages/publications/0022442114
UR - https://www.scopus.com/pages/publications/0022442114#tab=citedBy
U2 - 10.1016/S0025-6196(12)61925-9
DO - 10.1016/S0025-6196(12)61925-9
M3 - Article
AN - SCOPUS:0022442114
SN - 0025-6196
VL - 61
SP - 254
EP - 262
JO - Mayo Clinic Proceedings
JF - Mayo Clinic Proceedings
IS - 4
ER -