Relative power of clinical, exercise test, and angiographic variables in predicting clinical outcome after myocardial infarction: the Newham and Tower Hamlets study.

Belder, Mark de; Pumphrey, C W; Skehan, J D; Rimington, Helen; Wakeel, B al; Evans, Stephen; Rothman, M. T.; Mills, Peter

doi:10.1136/hrt.60.5.377

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1989

2007

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Cited by 17 publications

(2 citation statements)

References 31 publications

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“…One meta‐analysis and numerous observational studies 23–27 suggesting that post‐AMI stress testing can predict subsequent cardiac outcomes were identified, although most patients studied were younger than 80.…”

Section: Resultsmentioning

confidence: 99%

Quality Indicators for the Care of Ischemic Heart Disease in Vulnerable Elders

Watson¹,

Fung²,

Budoff³

2007

J American Geriatrics Society

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Section: Resultsmentioning

confidence: 99%

Quality Indicators for the Care of Ischemic Heart Disease in Vulnerable Elders

Watson¹,

Fung²,

Budoff³

2007

J American Geriatrics Society

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“…We overcame some ofthese problems by using a large well defined consecutive series of stable survivors of infarction as a comparison group. 5 We selected patients from the London and Newham hospitals who had an early post-infarction exercise test. This was followed by early coronary and left ventricular angiography.…”

mentioning

confidence: 99%

Patterns of coronary artery disease in post-infarction ventricular septal rupture.

Skehan

Carey

Norrell

et al. 1989

Heart

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Cardiac angiography was reviewed in 91 patients with post-infarction ventricular septal rupture. The results were compared with those of 123 stable survivors who had a positive submaximal exercise test early after infarction. Anterior infarction and occlusion of the infarct vessel were more common in those with ventricular septal rupture than in the comparison group. In the group with ventricular septal rupture there was more left ventricular damage, with aneurysm formation in two thirds, and coronary angiography showed more single than triple vessel disease. In the comparison group there was more triple vessel disease than single vessel disease. Angiographically demonstrable collaterals to the infarct territory were not seen or only very faintly seen in 82% of those with septal rupture. Well developed collaterals were seen in two thirds of the comparison group. These patterns of coronary disease suggest that ventricular septal rupture is more likely in patients with coronary occlusion and little or no collateral support to the infarct territory.

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