Abstract:
:Left ventricular ejection fraction and regional wall motion were assessed by multigated equilibrium radionuclide ventriculography within 24 hours of onset of first acute transmural myocardial infarction (MI) in 32 patients. Abnormal left ventricular wall motion was noted in all 16 patients with anterior infarction and in 14 of 16 (87.5%) patients with inferior infarction. Regional wall motion abnormalities frequently included areas adjacent to and remote from those predicted by the ECG location of ST elevation and pathologic Q waves. Such remote wall motion abnormalities were associated with reciprocal ST segment depression in 17 of 18 (94%) patients, and conversely reciprocal ST segment depressions were associated with remote wall motion abnormalities in 17 of 24 (71%) patients. The left ventricular ejection fraction was lower in patients with a reciprocal ST segment depression compared to those without (anterior MI 0.29 +/- 0.07 vs 0.43 +/- 0.08, p less than 0.01; inferior MI 0.45 +/- 0.11 vs 0.63 +/- 0.06, p less than 0.001). In addition, the peak MB-CK levels were higher in patients with compared to those without reciprocal ST segment depression (anterior MI 268 +/- 183 vs 102 +/- 60, p less than 0.05; inferior MI 186 +/- 120 vs 67 +/- 20, p less than 0.05). Thirteen of 18 (72%) patients with reciprocal ST segment depression compared to 4 of 13 (31%) patients without reciprocal ST segment depression had a complicated clinical course during their hospital stay. These observation suggest that global left ventricular dysfunction in first acute transmural MI is greater when reciprocal ST segment depression is present on the 12-lead ECG.(ABSTRACT TRUNCATED AT 250 WORDS)
journal_name
Am Heart Jjournal_title
American heart journalauthors
Pichler M,Shah PK,Peter T,Singh B,Berman D,Shellock F,Swan HJdoi
10.1016/0002-8703(83)90644-0subject
Has Abstractpub_date
1983-11-01 00:00:00pages
1003-9issue
5 Pt 1eissn
0002-8703issn
1097-6744pii
0002-8703(83)90644-0journal_volume
106pub_type
杂志文章abstract:BACKGROUND:The pulmonary venous flow signal measured by transesophageal echocardiography is generally recorded from the left upper pulmonary vein in the left lateral decubitus position, whereas that by transthoracic echocardiography is from the right upper pulmonary vein in the left semi-lateral decubitus position. The...
journal_title:American heart journal
pub_type: 杂志文章
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更新日期:1999-03-01 00:00:00
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pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:1994-05-01 00:00:00
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journal_title:American heart journal
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:1991-08-01 00:00:00
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更新日期:1997-02-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1985-01-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1982-06-01 00:00:00
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更新日期:2015-04-01 00:00:00
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pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2017-07-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2002-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:1993-01-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:1994-11-01 00:00:00
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更新日期:2002-04-01 00:00:00
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更新日期:1991-08-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1999-09-01 00:00:00
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更新日期:1993-01-01 00:00:00