Echocardiographic prediction of the final event in patients dying of acute myocardial infarction

R. Mimo, L. Sparacino, G. L. Nicolosi, E. Cervesato, D. R. Wei, U. Grandis, C. Lestuzzi, G. L. Rellini, P. A. Charmet, D. Zanuttini

Research output: Contribution to journalArticlepeer-review


From an autopsy series of 346 patients who died of acute myocardial infarction, we selected 36 cases for whom echocardiographic data preceding death were available: 17 cases died from a rupture of the left ventricularfree wall (group A) and 19 from pump failure (group B). Our aim was to investigate whether any echocardiographic parameter could predict the final event. The total wall motion score, regional wall motion score index and percent of abnormally contracting myocardium were calculated. Diastolic and systolic volumes, ejection fraction and the eccentricity index, as a rough indicator of the left ventricular shape, were also estimated. Interventricular septum and posterior wall thicknesses were also measured. All measured parameters were similar in both groups except posterior wall thickness. Even though an unavoidable selection bias is present in our series, we failed to identify any echocardiographic predictor of the final event in this patient group.

Original languageEnglish
Pages (from-to)775-779
Number of pages5
JournalEuropean Heart Journal
Issue number6
Publication statusPublished - 1993


  • Cardiac rupture
  • Echocardiography
  • Myocardial infarction
  • Pump failure

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Statistics, Probability and Uncertainty
  • Applied Mathematics
  • Physiology (medical)
  • Physiology


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