Detection of left ventricular dysfunction after acute myocardial infarction: comparison of clinical, echocardiographic, and neurohormonal methods

A. M. Choy; D. Darbar; C. C. Lang; T. H. Pringle; G. P. McNeill; N. S. Kennedy; A. D. Struthers

doi:10.1136/hrt.72.1.16

Detection of left ventricular dysfunction after acute myocardial infarction: comparison of clinical, echocardiographic, and neurohormonal methods

A. M. Choy, D. Darbar, C. C. Lang, T. H. Pringle, G. P. McNeill, N. S. Kennedy, A. D. Struthers

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Abstract

The SAVE study showed that captopril improves mortality in patients with left ventricular dysfunction after myocardial infarction and that this benefit occurred even in patients with no clinically overt heart failure. On the basis of this, it seems important to identify correctly which patients have left ventricular dysfunction after a myocardial infarction. The objective was to compare various methods of identifying patients with left ventricular dysfunction (left ventricular ejection fraction, LVEF, <or = 40%) after acute myocardial infarction. The methods compared were echocardiography (quantitative and qualitative visual assessment), clinical evaluation (subjective assessment and three clinical score methods), and measurement of plasma concentrations of cardiac natriuretic peptide hormones (atrial and brain natriuretic peptides, ANP and BNP).

Original language	English
Pages (from-to)	16-22
Number of pages	7
Journal	British Heart Journal
Volume	72
Issue number	1
DOIs	https://doi.org/10.1136/hrt.72.1.16
Publication status	Published - 1994

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10.1136/hrt.72.1.16

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1025420/

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title = "Detection of left ventricular dysfunction after acute myocardial infarction: comparison of clinical, echocardiographic, and neurohormonal methods",

abstract = "The SAVE study showed that captopril improves mortality in patients with left ventricular dysfunction after myocardial infarction and that this benefit occurred even in patients with no clinically overt heart failure. On the basis of this, it seems important to identify correctly which patients have left ventricular dysfunction after a myocardial infarction. The objective was to compare various methods of identifying patients with left ventricular dysfunction (left ventricular ejection fraction, LVEF, <or = 40%) after acute myocardial infarction. The methods compared were echocardiography (quantitative and qualitative visual assessment), clinical evaluation (subjective assessment and three clinical score methods), and measurement of plasma concentrations of cardiac natriuretic peptide hormones (atrial and brain natriuretic peptides, ANP and BNP).",

author = "Choy, {A. M.} and D. Darbar and Lang, {C. C.} and Pringle, {T. H.} and McNeill, {G. P.} and Kennedy, {N. S.} and Struthers, {A. D.}",

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T1 - Detection of left ventricular dysfunction after acute myocardial infarction

T2 - comparison of clinical, echocardiographic, and neurohormonal methods

AU - Choy, A. M.

AU - Darbar, D.

AU - Lang, C. C.

AU - Pringle, T. H.

AU - McNeill, G. P.

AU - Kennedy, N. S.

AU - Struthers, A. D.

PY - 1994

Y1 - 1994

N2 - The SAVE study showed that captopril improves mortality in patients with left ventricular dysfunction after myocardial infarction and that this benefit occurred even in patients with no clinically overt heart failure. On the basis of this, it seems important to identify correctly which patients have left ventricular dysfunction after a myocardial infarction. The objective was to compare various methods of identifying patients with left ventricular dysfunction (left ventricular ejection fraction, LVEF, <or = 40%) after acute myocardial infarction. The methods compared were echocardiography (quantitative and qualitative visual assessment), clinical evaluation (subjective assessment and three clinical score methods), and measurement of plasma concentrations of cardiac natriuretic peptide hormones (atrial and brain natriuretic peptides, ANP and BNP).

AB - The SAVE study showed that captopril improves mortality in patients with left ventricular dysfunction after myocardial infarction and that this benefit occurred even in patients with no clinically overt heart failure. On the basis of this, it seems important to identify correctly which patients have left ventricular dysfunction after a myocardial infarction. The objective was to compare various methods of identifying patients with left ventricular dysfunction (left ventricular ejection fraction, LVEF, <or = 40%) after acute myocardial infarction. The methods compared were echocardiography (quantitative and qualitative visual assessment), clinical evaluation (subjective assessment and three clinical score methods), and measurement of plasma concentrations of cardiac natriuretic peptide hormones (atrial and brain natriuretic peptides, ANP and BNP).

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DO - 10.1136/hrt.72.1.16

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SP - 16

EP - 22

JO - British Heart Journal

JF - British Heart Journal

IS - 1

ER -

Detection of left ventricular dysfunction after acute myocardial infarction: comparison of clinical, echocardiographic, and neurohormonal methods

Abstract

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