Clinical impact of echocardiography in prognostic stratification after acute myocardial infarction

Maria Penco, Susanna Sciomer, Carmine Dario Vizza, Alessandra Dagianti, Antonio Vitarelli, Silvio Romano, Armando Dagianti

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Risk stratification is mandatary in the management of the postinfarction period. The identification of high-risk patients, on the basis of clinical data (recurrent angina, overt heart failure, etc.), is quite easy, whereas stratification of uncomplicated subjects needs an accurate non-invasive strategy. In the last 20 years, echocardiography has been gaining an increasing role, allowing increasingly precise evaluation of infarct size. This detection of the extent of infarct size has a definite prognostic value. Since 1980, we have observed that a dysfunctioning left ventricular myocardium >40% marked patients with a poor prognosis. These observations are most important in asymptomatic infarct patients, in whom clinical features may not reflect the amount of left ventricular dysfunction. Our recent results on a large series of patients with acute myocardial infarction (MI) without overt heart failure have shown that the extension of wall motion abnormalities at 2-dimensional (2D) echocardiography was highly predictive of cardiac death or new coronary events in a 3-year follow-up (univariate analysis; p

Original languageEnglish
JournalThe American Journal of Cardiology
Volume81
Issue number12 A
Publication statusPublished - Jun 18 1998

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Echocardiography
Myocardial Infarction
Heart Failure
Left Ventricular Dysfunction
Myocardium

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Penco, M., Sciomer, S., Vizza, C. D., Dagianti, A., Vitarelli, A., Romano, S., & Dagianti, A. (1998). Clinical impact of echocardiography in prognostic stratification after acute myocardial infarction. The American Journal of Cardiology, 81(12 A).

Clinical impact of echocardiography in prognostic stratification after acute myocardial infarction. / Penco, Maria; Sciomer, Susanna; Vizza, Carmine Dario; Dagianti, Alessandra; Vitarelli, Antonio; Romano, Silvio; Dagianti, Armando.

In: The American Journal of Cardiology, Vol. 81, No. 12 A, 18.06.1998.

Research output: Contribution to journalArticle

Penco, M, Sciomer, S, Vizza, CD, Dagianti, A, Vitarelli, A, Romano, S & Dagianti, A 1998, 'Clinical impact of echocardiography in prognostic stratification after acute myocardial infarction', The American Journal of Cardiology, vol. 81, no. 12 A.
Penco M, Sciomer S, Vizza CD, Dagianti A, Vitarelli A, Romano S et al. Clinical impact of echocardiography in prognostic stratification after acute myocardial infarction. The American Journal of Cardiology. 1998 Jun 18;81(12 A).
Penco, Maria ; Sciomer, Susanna ; Vizza, Carmine Dario ; Dagianti, Alessandra ; Vitarelli, Antonio ; Romano, Silvio ; Dagianti, Armando. / Clinical impact of echocardiography in prognostic stratification after acute myocardial infarction. In: The American Journal of Cardiology. 1998 ; Vol. 81, No. 12 A.
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