Evaluation of clinical variables as predicators of left ventricular function in acute myocardial infarction.

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dc.contributor.authorJain, A Pen_US
dc.contributor.authorGupta, O Pen_US
dc.contributor.authorJajoo, U Nen_US
dc.contributor.authorKumar, Aen_US
dc.contributor.authorTrivedi, S Ken_US
dc.date.accessioned1993-01-01en_US
dc.date.accessioned2009-05-31T04:02:57Z
dc.date.available1993-01-01en_US
dc.date.available2009-05-31T04:02:57Z
dc.date.issued1993-01-01en_US
dc.description.abstractIn 43 rural patients, all survivors of acute Myocardial infarction, left ventricular function was studied by 2-D echocardiography and evaluated in relation to 18 clinical predictors of left ventricular function. The mean left ventricular ejection fraction (LVEF) was 41.53 +/- 12.92% as compared to 70.02 +/- 7.02% in 506 healthy controls. LVEF was dichotomised at < 40% (n = 24) and > 40% (n = 19). Out of various clinical variables analysed following were found to be strong predictors of low LVEF. S3 gallop (p < 0.001) pulmonary rates (p < 0.001); Creatine phosphokinase > 200 I.U. (p < 0.001); Cardiomegaly on X-ray (p < 0.001); pulmonary congestion on chest X-ray (p < 0.001); and proportional pulse pressure (p < 0.001). There was a stepwise decline in the LVEF for each additional clinical variable. The over all predictive accuracy was 90%. It is concluded that readily obtainable clinical variables provide a useful bedside method of estimating LVEF after acute myocardial infarction.en_US
dc.description.affiliationDepartment of Medicine, Mahatma Gandhi Institute of Medical Sciences, Dist. Wardha, M.S.en_US
dc.identifier.citationJain AP, Gupta OP, Jajoo UN, Kumar A, Trivedi SK. Evaluation of clinical variables as predicators of left ventricular function in acute myocardial infarction. Journal of the Association of Physicians of India. 1993 Jan; 41(1): 17-9en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/94423
dc.language.isoengen_US
dc.source.urihttps://www.japi.orgen_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 and overen_US
dc.subject.meshEchocardiographyen_US
dc.subject.meshElectrocardiographyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHemodynamics --physiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshIndia --epidemiologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshMyocardial Infarction --diagnosisen_US
dc.subject.meshPredictive Value of Testsen_US
dc.subject.meshRural Populationen_US
dc.subject.meshVentricular Function, Left --physiologyen_US
dc.titleEvaluation of clinical variables as predicators of left ventricular function in acute myocardial infarction.en_US
dc.typeJournal Articleen_US
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