European Heart Journal Advance Access originally published online on March 19, 2008
European Heart Journal 2008 29(7):833-834; doi:10.1093/eurheartj/ehn067
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org
Is heart failure the critical warning sign for death following myocardial infarction?
1 Department of Cardiology, Rigshospitalet, University of Copenhagen, DK-2100 Copenhagen, Denmark
2 Department of Cardiology, Gentofte Hospital, University of Copenhagen, DK-2900 Hellerup, Denmark
* Corresponding author. Tel: 4535458525, Fax: 4570211262, Email: lk@heart.dk
This editorial refers to The timing of development and subsequent clinical course of heart failure after a myocardial infarction
by A. Torabi et al., on page 859
Footnotes
The opinions expressed in this article are not necessarily those of the Editors of the European Heart Journal or of the European Society of Cardiology.
| The first 10% of the full text of this article appears below. |
The prognostic dilemma
We try to predict the future of our patients with myocardial infarction (MI) in order to intervene and improve the prognosis, and this ambition is highlighted by concepts such as a widow-maker stenosis or tombstone ST-segment elevation. However, in reality, our predictions are highly uncertain. With marked—and fortunately—rare exceptions such as cardiogenic shock, the predictive value of our observations are only valuable for groups of patients and highly uncertain for the individual patient. An important sign such as reduced left ventricular systolic function clearly separates groups, but in
Is heart failure the warning sign to track?
Were other warning signs important?
The implication
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Related articles in EHJ:
- The timing of development and subsequent clinical course of heart failure after a myocardial infarction
- Azam Torabi, John G.F. Cleland, Nasrin K. Khan, Puan H. Loh, Andrew L. Clark, Farqad Alamgir, John L. Caplin, Alan S. Rigby, and Kevin Goode
EHJ 2008 29: 859-870.[Abstract] [Full Text]