Left ventricular function of survivors of a first complicated XXXX . A prehospital discharge cross-sectional echocardiographic study.

@entity1 @entity1188 @entity951 @entity583 @entity1002
To assess the left ventricular function of @entity1 who suffer from post- @entity1188 @entity951 and @entity1002 in the coronary care unit, 79 consecutive survivors (mean age 48 years) of a first @entity583 were prospectively studied and followed-up for a mean 18- (10-34) month period. Forty-seven had an uncomplicated @entity1188 , 17 suffered from post- @entity1188 @entity951 and 15 had @entity1002 . The left ventricular function of these @entity1 prior to discharge from hospital was assessed by cross-sectional echocardiography and radionuclide angiography. Analysis of left ventricular wall motion was performed in all @entity1 using a 11-segment model of the left ventricular. The ejection fraction was determined by echocardiography in 47 @entity1 and by radionuclide angiography in 50. The mean echocardiographic wall motion score of post- @entity1188 @entity951 @entity1 (4.8 +/- 0.8) (+/- SEM) was lower than that of @entity1 with @entity1002 (9.5 +/- 0.5) (P less than 0.001), but was not different from @entity1 suffering uncomplicated @entity1188 (4.6 +/- 0.3). The mean echocardiographic ejection fraction was also similar in post- @entity1188 @entity951 (45.3 +/- 4.0; n = 16) and @entity1 with uncomplicated @entity1188 (51.9 +/- 2.7; n = 17), but was lowest in the group of @entity1 with @entity1002 (35.1 +/- 3.3; n = 14). Similarly, the radionuclide ejection fraction of @entity1 with post- @entity1188 @entity951 (41.4 +/- 3.4; n = 17) and @entity1 with uncomplicated @entity1188 (45.6 +/- 2.7; n = 19) did not differ, but was lower in @entity1 with @entity1002 (25.9 +/- 2.8; n = 14). The echocardiographic ejection fraction correlated with that obtained by radionuclide angiography in all 46 @entity1 (r = 0.71, P less than 0.001). The wall motion score correlated with the radionuclide ejection fraction in all 50 @entity1 (r = -0.73, P less than 0.001) and with the echocardiographic ejection fraction in 47 @entity1 (r = -0.55, P less than 0.001). During follow-up, 3 (18%) @entity1 suffering post- @entity1188 @entity951 and 2 (13%) with @entity1002 died. New @entity1188 was seen in 2 (12%) and 1 (7%) @entity1 in these groups, respectively. We conclude that the left ventricular function of @entity1 who suffer from post- @entity1188 @entity951 in the coronary care unit is good, but is impaired in those with even transient @entity1002 . Echocardiographic assessment of cardiac function prior to hospital discharge was highly successful and may be performed in all such @entity1 .
