Early estimation of risk by echocardiographic determination of wall motion index in an unselected population with acute myocardial infarction

Berning, J; Steensgaard-Hansen, Frank

doi:10.1016/0002-9149(90)91032-2

Cited by 128 publications

(62 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thus, in AMI it has been shown that discrepancies between subjective and objec tive measures of left ventricular function are not infrequent [5,[16][17][18], Therefore, it has been claimed that signs of clinical heart fail ure must be corroborated with objective measurements of left ventricular function to confirm a diagnosis of congestive heart fail ure [ 14], Gadsboll et al [ 19] found consider able interobserver variability in the evalua tion of clinical signs of heart failure in the 2nd week after AMI. Further confounding for the clinical evaluation is the fact that signs and symptoms of clinical heart failure may fluctuate over time and with treatment [20], Contrary, left ventricular systolic per formance appears to be an earlier and more stable marker of risk in the setting [5],…”

Section: Discussionmentioning

confidence: 99%

“…Clinical signs of heart failure and laboratory evidence of depressed left ven tricular systolic performance are considered the strongest predictors of long-term mortal ity post-AMI [1][2][3]. Importantly, echocardi ography is the most readily available labora tory method for estimation of left ventricu lar performance in this setting [4,5], Early échocardiographie examination has an es tablished prognostic value in AMI [6][7][8], However, it is not quite clear to which extent early determination of left ventricular per formance by echocardiography provides prognoslic information over and beyond that of accumulated observations of clinical manifestations of heart failure during the entire period of hospitalization. Similarly, the comparative prognostic value of various early échocardiographie measures of global left ventricular function has not been for mally analyzed.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Relative Prognostic Value of Clinical Heart Failure and Early Echocardiographic Parameters in Acute Myocardial Infarction

Berning¹,

Steensgaard-Hansen²,

Appleyard³

1991

Cardiology

Self Cite

View full text Add to dashboard Cite

The relative prognostic value of clinical heart failure and early M-mode and 2-dimensional echocardiographic indexes of left ventricular performance was compared in a study of 205 consecutive patients with acute myocardial infarction (AMI). Statistical analysis showed that an early wall motion score was a stronger predictor of 1 -year mortality than the occurrence of clinical heart failure early, late or at any time during the hospital course of AMI. The finding of clinical heart failure had an independent prognostic value of intermediate strength. M-mode echocardiographic parameters only had a weak independent prognostic value, possibly related to their content of information on left ventricular end-systolic dimension.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Relative Prognostic Value of Clinical Heart Failure and Early Echocardiographic Parameters in Acute Myocardial Infarction

Berning¹,

Steensgaard-Hansen²,

Appleyard³

1991

Cardiology

Self Cite

View full text Add to dashboard Cite

show abstract

“…13 For those without wall motion abnormalities, GLS provided incremental prognostic information over baseline variables, whereas EF did not. Both GLS and EF increased model power similarly in those with wall motion abnormalities (Figure 4).…”

Section: Wall Motion Abnormalitiesmentioning

confidence: 93%

Prediction of All-Cause Mortality From Global Longitudinal Speckle Strain

Stanton

Leano

Marwick

2009

Circ: Cardiovascular Imaging

771

281

View full text Add to dashboard Cite

show abstract

“…LV ejection fraction (LVEF) was estimated with validated quantitative (single or biplane planimetry) or semiquantitative methods, including wall motion score index in 799 patients using a previously validated algorithm. 24,25 In a subgroup of 1575 patients, LV volumes indexed to body surface area were available, and targeted subgroup analysis was performed to evaluate the independence of restrictive filling pattern and end-systolic volume index (ESVi).…”

Section: Measurement Of Ejection Fraction and LV Volumesmentioning

confidence: 99%

Independent Prognostic Importance of a Restrictive Left Ventricular Filling Pattern After Myocardial Infarction

Hillis¹,

Moller²,

Whalley³

et al. 2008

Circulation

142

View full text Add to dashboard Cite

Background-Restrictive mitral filling pattern (RFP), the most severe form of diastolic dysfunction, is a predictor of outcome after acute myocardial infarction (AMI). Low power has precluded a definite conclusion on the independent importance of RFP, especially when overall systolic function is preserved. We undertook an individual patient meta-analysis to determine whether RFP is predictive of mortality independently of LV ejection fraction (LVEF), end-systolic volume index, and Killip class in patients after AMI. Methods and Results-Twelve prospective studies (3396 patients) assessing the relationship between prognosis and Doppler echocardiographic LV filling pattern in patients after AMI were included. Individual patient data from each study were extracted and collated into a single database for analysis. RFP was associated with higher all-cause mortality (hazard ratio, 2.67; 95% CI, 2.23 to 3.20; PϽ0.001) and remained an independent predictor in multivariate analysis with age, gender, and LVEF. The overall prevalence of RFP was 20% but was highest (36%) in the quartile of patients with lowest LVEF (Ͻ39%) and lowest (9%) in patients with the highest LVEF (Ͼ53%; PϽ0.0001). RFP remained significant within each quartile of LVEF, and no interaction was found for RFP and LVEF (Pϭ0.42). RFP also predicted mortality in patients with above-and below-median end-systolic volume index (1575 patients) and in different Killip classes (1746 patients). Importantly, when diabetes, current medication, and prior AMI were included in the model, RFP remained an independent predictor of outcome. Conclusions-Restrictive filling is an important independent predictor of mortality after AMI regardless of LVEF, end-systolic volume index, and Killip class.

show abstract

Early estimation of risk by echocardiographic determination of wall motion index in an unselected population with acute myocardial infarction

Cited by 128 publications

References 40 publications

Relative Prognostic Value of Clinical Heart Failure and Early Echocardiographic Parameters in Acute Myocardial Infarction

Relative Prognostic Value of Clinical Heart Failure and Early Echocardiographic Parameters in Acute Myocardial Infarction

Prediction of All-Cause Mortality From Global Longitudinal Speckle Strain

Independent Prognostic Importance of a Restrictive Left Ventricular Filling Pattern After Myocardial Infarction

Contact Info

Product

Resources

About