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《Chinese Journal of Critical Care Medicine》 2008-01
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Value of two dimensional echocardiogram for ventricular wall motion in first acute myocardial infarction patients

ZHOU Qing-hua,TIAN Li-hua,WANG Ye-shu,et al. Department of Cardiovascular Medicine,Tsinghua University Yuquan hospital,Beijing 100049,China  
Objective To explore the prognosis of ventricular aneurysm in first acute myocardial infarction patients by predischarge hospital echocardiogram. Methods Prospective predischarge hospital two dimensional colour flow echocardiography examination were performed in 281 first acute myocradial infarction patients. Mean followup was 5.5 years (range 2 to 10 years). Results One hundred and fifty-two (54.1%)first acute myocardial infarction patients had abnormal ventricular wall motion. Among them,49 patients had ventricular aneurysm,103 had abnormal ventricular wall motion but without ventricular aneurysm. After discharge,78 patients had recurrent myocardial infarction,64 had congestive heart failure,and 31 had cardiogenic death. In aneurysm group,26 cases had recurrent MI,23 had congestive heart failure and 9 cardiogenic death. Patients with aneurysm had more cardiac events than abnormal wall motion without aneurysm group and normal wall motion group after discharge. Conclusions Abnormal ventricular wall motion is the main factor affected the prognosis of AMI. Predischarge hospital echocardiogram is meaningful to risk stratification and prognosis of AMI.
【CateGory Index】: R542.22
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