Left ventricular function in myocardial infarction. Predictive value during negative low-level exercise three weeks postinfarction.

Abstract:

:To evaluate whether the response of left ventricular pump function during low-level exercise in the early postinfarction period can anticipate its change during the first year after acute myocardial infarction (MI), global and regional ejection fractions (EF) were investigated using radionuclide angiography in 52 consecutive patients with negative predischarge exercise test. The changes in left ventricular EF and regional EF of the noninfarcted area during the early exercise test had a good linear relation with the changes during the first year after MI (r = 0.86, p less than 0.001 and r = 0.81, p less than 0.001, respectively). Our results indicate that the mobilization of the Frank-Starling mechanism and myocardial contractility were the important factors related to the change of left ventricular EF, and that the changes of left ventricular EF during exercise in the patient with a negative predischarge exercise test can predict the direction of change (concordant rise or fall) during the first year after MI.

journal_name

Chest

journal_title

Chest

authors

Iwasaka T,Sugiura T,Nakamura S,Okubo N,Inada M

doi

10.1378/chest.102.2.335

subject

Has Abstract

pub_date

1992-08-01 00:00:00

pages

335-40

issue

2

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)34021-1

journal_volume

102

pub_type

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