Skip Navigation

European Heart Journal 1986 7(4):289-298;
Copyright © 1986 by the European Society of Cardiology.
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by PFISTERER, M.
Right arrow Articles by BURKART, F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by PFISTERER, M.
Right arrow Articles by BURKART, F.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 1986 The European Society of Cardiology

Prognostic significance of right ventricular ejection fraction for persistent complex ventricular arrhythmias and/or sudden cardiac death after first myocardial infarction: Relation to infarct location, size and left ventricular function

M. PFISTERER, H. EMMENEGGER, M. SOLER and F. BURKART

Division of Cardiology, Department of Internal Medicine and Division of Nuclear Medicine, Institute of Radiology, University Hospital Basel, Switzerland

Received 12 August 1985; revised 28 October 1985; .

Address for reprints: M. Pfisterer, M.D., Division of Cardiology, Department of Internal Medicine, University Hospital, CH-4031, Basel/Switzerland.

Abstract

To assess the prognostic significance of right ventricular dysfunction after a first myocardial infarction for complex ventricular arrhythmias and or sudden cardiac death in relation to infarct location, size and left ventricular function, a series of 127 consecutive patients was prospectively studied and followed up for one year. Prior to hospital discharge, a 24-hour electrocardiographic recording and radionuclide angiocardiography were performed. Right ventricular ejection fraction was related to inferior infarct location and size (r = 0.45, P<0.01): similarly left ventricular ejection fraction was related to anterior infarct location and size (r = 0.76, P7lt;0.001). The incidence of severe ventricular arrhythmias was significantly higher in patients with isolated right or left ventricular dysfunction compared to patients with normal function; it was highest in patients with severe depression of both ventricles. Patients with complex ventricular arrhythmia and/or sudden cardiac death had significantly reduced left and right ventricular ejection fractions. Detailed analysis in patients with left ventricular ejection fraction > 0.40 vs. ≤ 0.40 showed that presence of complex ventricular ectopic activity and/or sudden cardiac death after myocardial infarction was related not only to left, but also independently to right ventricular dysfunction. These results imply a significant prognostic contribution of right ventricular dysfunction to the occurrence of severe ventricular arrhythmias and/or sudden cardiac death after myocardial infarction independent of and additive to left ventricular dysfunction.

Key Words: Right ventricular ejection fraction • complex ventricular arrhythmias • sudden cardiac death • prognosis • myocardial infarction • left ventricular ejection fraction


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 ChestHome page
C. Jenkins, J. Chan, K. Bricknell, M. Strudwick, and T. H. Marwick
Reproducibility of Right Ventricular Volumes and Ejection Fraction Using Real-time Three-Dimensional Echocardiography: Comparison With Cardiac MRI
Chest, June 1, 2007; 131(6): 1844 - 1851.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
A. Kalangos, S. Reverdin, C. Roussos, D. Vala, and M. Cikirikcioglu
Cavobipulmonary shunt for the management of isolated postinfarction right ventricular failure
J. Thorac. Cardiovasc. Surg., August 1, 2005; 130(2): 572 - 573.
[Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
A. K. Jacobs, J. A. Leopold, E. Bates, L. A. Mendes, L. A. Sleeper, H. White, R. Davidoff, J. Boland, S. Modur, R. Forman, et al.
Cardiogenic shock caused by right ventricular infarction: A report from the SHOCK registry
J. Am. Coll. Cardiol., April 16, 2003; 41(8): 1273 - 1279.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart JHome page
C.-K. Wong and H. D. White
Risk stratification of patients with right ventricular infarction: is there a need for a specific risk score?
Eur. Heart J., November 1, 2002; 23(21): 1642 - 1645.
[Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
J. A. Goldstein
Pathophysiology and management of right heart ischemia
J. Am. Coll. Cardiol., September 4, 2002; 40(5): 841 - 853.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
L. A. M. Zornoff, H. Skali, M. A. Pfeffer, M. St. John Sutton, J. L. Rouleau, G. A. Lamas, T. Plappert, J. R. Rouleau, L. A. Moye, S. J. Lewis, et al.
Right ventricular dysfunction and risk of heart failure and mortality after myocardial infarction
J. Am. Coll. Cardiol., May 1, 2002; 39(9): 1450 - 1455.
[Abstract] [Full Text] [PDF]

Home page
 NEJMHome page
T. R. Bowers, W. W. O'Neill, C. Grines, M. C. Pica, R. D. Safian, and J. A. Goldstein
Effect of Reperfusion on Biventricular Function and Survival after Right Ventricular Infarction
N. Engl. J. Med., April 2, 1998; 338(14): 933 - 940.
[Abstract] [Full Text] [PDF]

Home page
 NEJMHome page
J. W. Kinch and T. J. Ryan
Right Ventricular Infarction
N. Engl. J. Med., April 28, 1994; 330(17): 1211 - 1217.
[Full Text]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.