Usefulness of predischarge echocardiographic criteria in predicting complications following XXXX .

@entity1 @entity662 @entity712 @entity299 @entity583 @entity204
In 103 @entity1 who recovered from an @entity583 ( @entity583 ) we evaluated the usefulness of predischarge clinical, routine laboratory and M-mode echocardiographic (echo) criteria in predicting @entity299 during a period of 12-41 months (25.0 +/- 10.7 months) follow-up. The echo parameters evaluated were: left ventricular diastolic diameter, left ventricular percent fractional shortening and the mitral valve E point septal separation. The combination of these three echo criteria was defined as an echo-index, which was considered abnormal if at least two of the three single parameters were pathological. @entity712 occurred in 35 (34%) @entity1 , with significantly higher prevalence among those older than 65 years, with previous @entity583 and with predischarge findings of @entity712 . However, the sensitivity of these clinical parameters was unsatisfactory (34-69%). The sensitivity, specificity and positive predictive value of the echo-index for @entity712 were 89, 88 and 80%, respectively. @entity662 prior to hospital discharge was the only criteria predicting high risk of reinfarction (p = 0.001). The risk of @entity204 was related to age older than 65 years (p = 0.03) and an abnormal echo-index (p = 0.01). The overall mortality rate was 13%, but only 6% among those with normal and 26% among those with pathologic echo-index. In conclusion, in @entity1 who recovered from an @entity583 , a simple and easily measured echo-index was superior to most clinical and routine laboratory criteria in predicting @entity712 and @entity204 .
