TY - JOUR
T1 - Prognostic value of echocardiographic evaluation of septal function in acute anteroseptal myocardial infarction
AU - Wiener, Isaac
AU - Meller, Jose
AU - Packer, Milton
AU - Herman, Michael V.
AU - Teichholz, Louis E.
N1 - Funding Information:
From the Division of Cardiology, Department Sinai Medical Center, New York, N. Y. Supported in part by grants from the Heart the Kreindler-Berm Foundation. Received for publication Nov. 3, 1978. Accepted for publication Jan. 15, 1979. Reprint requests: Louis E. Teichholz, M.D., Center, Division of Cardiology, One Gustave N. Y. 10029.
PY - 1979/6
Y1 - 1979/6
N2 - To determine the clinical usefulness of echocardiography in patients with anteroseptal myocardial infarction, echocardiograms were performed within 24 hours of admission on 40 patients with acute transmural anteroseptal myocardial infarction. Twenty-one patients had normal septal motion and septal systolic thickening, and 19 patients had abnormalities of one or both of these measurements. Of the 21 patients who had normal septal motion and thickening, only five developed congestive heart failure, none developed bundle branch block, and none died. Of the 19 patients with abnormal septal motion and/or thickening, 17 developed congestive heart failure (p < .001), seven developed bundle branch block (p < .001), and six died (p < .001). Therefore, (1) electrocardiographic evidence of septal infarction does not correlate with abnormalities of the portion of septum seen on echocardiogram, and (2) patients with anteroseptal myocardial infarction and abnormalities of the septum on echocardiogram have more complications and a higher in-hospital mortality rate. These patients may have more extensive myocardial infarction predisposing to pump failure and possibly involving the conduction system.
AB - To determine the clinical usefulness of echocardiography in patients with anteroseptal myocardial infarction, echocardiograms were performed within 24 hours of admission on 40 patients with acute transmural anteroseptal myocardial infarction. Twenty-one patients had normal septal motion and septal systolic thickening, and 19 patients had abnormalities of one or both of these measurements. Of the 21 patients who had normal septal motion and thickening, only five developed congestive heart failure, none developed bundle branch block, and none died. Of the 19 patients with abnormal septal motion and/or thickening, 17 developed congestive heart failure (p < .001), seven developed bundle branch block (p < .001), and six died (p < .001). Therefore, (1) electrocardiographic evidence of septal infarction does not correlate with abnormalities of the portion of septum seen on echocardiogram, and (2) patients with anteroseptal myocardial infarction and abnormalities of the septum on echocardiogram have more complications and a higher in-hospital mortality rate. These patients may have more extensive myocardial infarction predisposing to pump failure and possibly involving the conduction system.
UR - http://www.scopus.com/inward/record.url?scp=0018579590&partnerID=8YFLogxK
U2 - 10.1016/0002-8703(79)90007-3
DO - 10.1016/0002-8703(79)90007-3
M3 - Article
C2 - 433750
AN - SCOPUS:0018579590
SN - 0002-8703
VL - 97
SP - 726
EP - 732
JO - American Heart Journal
JF - American Heart Journal
IS - 6
ER -