Ventricular aneurysm: cross-sectional echocardiographic approach.

Publication/Presentation Date

12-18-1980

Abstract

Current angiographic indexes of ventricular function have proved inadequate for prognostication in patients with ventricular aneurysm. Cross-sectional echocardiography can visualize residual myocardium in all four walls of the left ventricle. A new echocardiographic technique of calculating residual myocardium is presented. The echocardiographic technique yielded identical information to that of contrast angiography (r = 0.97). An index of residual myocardium was generated from the cross-sectional echocardiogram that correlated with the clinical state of the patients. In patients treated medically it predicted those patients likely to die within 6 months (p < 0.005). Preliminary observations in patients having aneurysmectomy revealed that there were good surgical results in those with an index of residual myocardium of 0.42 or greater, but more patients are necessary to establish the lower limit of a surgically acceptable level of residual myocardium.

Volume

46

Issue

7

First Page

1133

Last Page

1137

ISSN

0002-9149

Disciplines

Medicine and Health Sciences

PubMedID

6969984

Department(s)

Department of Medicine

Document Type

Article

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