[Significance of the ejection fraction at rest and by stress using radionuclide ventriculography for the prognosis of myocardial infarct patients--comparison with other study methods] - PubMed (original) (raw)
[Article in German]
- PMID: 3877379
Comparative Study
[Significance of the ejection fraction at rest and by stress using radionuclide ventriculography for the prognosis of myocardial infarct patients--comparison with other study methods]
[Article in German]
E Grodzinski et al. Z Kardiol. 1985 Sep.
Abstract
We examined 221 patients with postmyocardial infarctions 8 weeks after MI using radionuclide ventriculography (RNVA) at rest (EFR) and during supine submaximal exercise (delta EF). Mortality rates were evaluated 2 1/2 and 3 1/2 years later by interviewing patients and/or their homephysicians. Sixteen patients were dead (6.7%) 2 1/2 years after MI, 28 (12.7%) were dead after 3 1/2 years. Thirty percent of patients with a resting EF less than 30% had died 2 1/2 years after MI, and 40% were dead within 3 1/2 years. The mortality rate was significantly higher than in patients who had EF greater than or equal to 30% 8 weeks after MI. Patients with a decrease of delta EF (greater than or equal to 5%) showed a 2 1/2 year mortality of 10.8% and after 3 1/2 years of 18.5%. Mortality was significantly higher in patients with decreasing EF during exercise than in those who increased their EF during exercise. This prognostic value of EFR and delta EF was compared with other parameters (angina pectoris, ECG at rest and during exercise, heart volume, Holter ECG, floating catheter PCP [rest and exercise], coronary angiography). Radionuclide ventriculography at rest and during exercise showed a tendency to be the best determining factor for prognosis, and is therefore recommended to determine prognosis in post-MI patients.
Similar articles
- [Severity and extent of coronary artery disease and their relationship to left ventricular functional reserve in the chronic disease state].
Tsuiki K, Kanaya T, Hayasaka M, Oguma M, Ota I, Kaminishi T, Yamaguchi S, Ohara N, Tonooka I, Yasui S. Tsuiki K, et al. J Cardiogr Suppl. 1986;(8):15-24. J Cardiogr Suppl. 1986. PMID: 3722876 Japanese. - Prognostic value of radionuclide ventriculography after myocardial infarction.
Dewhurst NG, Hannan WJ, Muir AL. Dewhurst NG, et al. Q J Med. 1980 Autumn;49(196):479-90. Q J Med. 1980. PMID: 7267963 - The prognostic value of submaximal exercise testing with radionuclide ventriculography before hospital discharge in patients with recent myocardial infarction.
Corbett JR, Dehmer GJ, Lewis SE, Woodward W, Henderson E, Parkey RW, Blomqvist CG, Willerson JT. Corbett JR, et al. Circulation. 1981 Sep;64(3):535-44. doi: 10.1161/01.cir.64.3.535. Circulation. 1981. PMID: 7261286 - Risk stratification after myocardial infarction.
Galli M, Marcassa C, Giordano A. Galli M, et al. J Nucl Biol Med (1991). 1992 Apr-Jun;36(2 Suppl):102-7. J Nucl Biol Med (1991). 1992. PMID: 1450230 Review. No abstract available.
Cited by
- The contraction fraction (CF) in myocardial studies with technetium-99m-isonitrile (MIBI)--correlations with radionuclide ventriculography and infarct size measured by SPECT.
Clausen M, Henze E, Schmidt A, Weller R, Lietzenmayer R, Hellwig D, Bitter F, Hildebrand P, Hombach V, Adam WE. Clausen M, et al. Eur J Nucl Med. 1989;15(10):661-4. doi: 10.1007/BF00251680. Eur J Nucl Med. 1989. PMID: 2806328 - Assessment of ventricular function with first-pass radionuclide angiography using technetium 99m hexakis-2-methoxyisobutylisonitrile: a European multicentre study.
Bisi G, Sciagrà R, Büll U, Britton KE, Eilles C, Eissner D, Hahn K, Höffken H, Joseph K, McKillop JH, et al. Bisi G, et al. Eur J Nucl Med. 1991;18(3):178-83. doi: 10.1007/BF02262728. Eur J Nucl Med. 1991. PMID: 1645664 Clinical Trial.
Publication types
MeSH terms
LinkOut - more resources
Medical