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European Heart Journal 1987 8(11):1201-1209;
Copyright © 1987 by the European Society of Cardiology.
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© 1987 The European Society of Cardiology

Right and left ventricular ejection fractions: Relation to one-year prognosis in acute myocardial infarction

N. GADSBøLL, P. F. HØILUND-CARLSEN, E. B. MADSEN, J. MARVING, A. PEDERSEN, H. LØNBORG-JENSEN, H. DIGE-PETERSEN and B. H. JENSEN

Department of Cardiology and Department of Clinical Physiology and Nuclear Medicine, Glostrup Hospital Copenhagen, Denmark

Received 11 November 1986; revised 3 March 1987; .

Niels Gadsbøll,MD, Department of Clinical Physiology and Nuclear Medicine, Glostrup Hospital, DK-2600 Glostrup, Copenhagen, Denmark

Right and left ventricular ejection fractions (RVEF and LVEF) were measured by radionuclide angiography in 423 patients with acute myocardial infarction (AMI). All investigations were performed at hospital discharge. Of 304 patients with first AM1, 26% had normal ejection fractions, 10% hada decrease in RVEF only, 46% a decrease in LVEF only, and 18% decrease in both RVEF and LVEF. Death from cardiac causes occurred in 52 patients in a one-year follow-up period. A reduced RVEF at hospital discharge had little, if any, relation to one-year mortality. In contrast, there was an inverse curvilinear relationship between LVEF and one-year cardiac mortality.

Key Words: Acute myocardial infarction • ejection fraction • prognosis


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