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Assessment of left ventricular systolic function by the chest x-ray: comparison with radionuclide ventriculography.

Abstract：

BACKGROUND:The value of the plain chest roentgenogram in predicting cardiac status remains controversial. METHODS AND RESULTS:A total of 111 randomly selected survivors of acute myocardial infarction (age 38 to 83 years) were studied prospectively. X-ray and radionuclide examinations were performed on a morning in the second week after myocardial infarction. From the chest x-ray, left ventricular chamber size and pulmonary vascular congestion were graded visually, and relative cardiac volume was measured to allow for comparison with radionuclide left ventricular end-diastolic volume index (LVEDVI) and left ventricular ejection fraction (LVEF) determined by gated blood pool imaging. Despite significant tendencies for larger radionuclide LVEDVI and lower LVEF with greater radiographic left ventricular size, larger relative cardiac volume, and increasing degrees of pulmonary congestion, wide scatter, and large overlaps between groups precluded reliable radiographic prediction of radionuclide findings. The positive and negative predictive values for radiographic detection of an enlarged LVEDVI ranged from 59% to 80% and 56% to 71%, respectively, and for prediction of a decreased LVEF from 75% to 90% and 40% to 58%, respectively. Accuracy never exceeded 70%. CONCLUSION:Our findings question the value of the chest roentgenogram in the detection and grading of left ventricular systolic dysfunction in patients with recent myocardial infarction.

journal_name

J Card Fail

journal_title

Journal of cardiac failure

authors

Høilund-Carlsen PF,Gadsbøll N,Hein E,Stage P,Badsberg JH,Jensen BH

doi

10.1016/j.cardfail.2004.10.004

keywords:

subject

Has Abstract

pub_date

2005-05-01 00:00:00

pages

299-305

issue

4

eissn

1071-9164

issn

1532-8414

pii

S1071916404009054

journal_volume

11

pub_type

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