Prognostic value of residual ischaemia assessed by exercise electrocardiography and dobutamine stress echocardiography in low-risk patients following acute myocardial infarction

European Heart Journal
R BigiC Fiorentini

Abstract

Risk stratification after uncomplicated myocardial infarction is major clinical problem. In particular, the prognostic value of residual inducible ischaemia is still controversial. We compared the relative prognostic value of exercise ECG and dobutamine stress echocardiography performed in the early post-infarction period. Four hundred and six patients (53 female) aged 57 +/- 9 years, undergoing maximal exercise ECG and dobutamine stress echocardiography within 10 days of an uncomplicated myocardial infarction off therapy, were prospectively followed-up for 8.8 months. Age, sex, diabetes, smoking habit, hypertension, dyslipidaemia, infarct location, thrombolysis and resting wall motion score index were taken into account among clinical variables. Prognostic correlations were made vs spontaneous events (cardiac death, non-fatal reinfarction and unstable angina requiring hospitalization) whilst patients undergoing revascularization (by means of percutaneous transluminal coronary angioplasty or coronary artery bypass surgery) at the time of the procedure were censored. One hundred and twenty-seven events occurred during the follow-up: 41 (10%) were spontaneous (five deaths, 12 reinfarctions and 24 unstable angina) and 86 procedura...Continue Reading

Citations

Jun 6, 2009·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Salam ItaniHabib A Dakik
Sep 6, 2003·International Journal of Cardiology·Masoor KamaleshStephen Sawada
Jun 11, 1999·Journal of the American College of Cardiology·A ElhendyJ R Roelandt
Aug 27, 2015·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Emer JoyceNina Ajmone Marsan
Nov 23, 2006·International Journal of Cardiology·Roman LeischikHartmut Gülker
Aug 16, 2003·Clinical Cardiology·Riccardo BigiAlessandro Desideri
Aug 3, 2000·The American Journal of Cardiology·A DesideriP Fioretti
Jun 2, 2009·Cardiovascular Ultrasound·Joselina L M OliveiraAntônio C S Sousa
Jun 27, 2008·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Rosa SicariUNKNOWN European Association of Echocardiography
Aug 12, 2005·Current Opinion in Cardiology·Elena BiaginiDon Poldermans

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