初发急性心肌梗死后以左室舒张期室壁运动异常作为左心室扩张的早期预测因素的作用

• 作 者: Husic M. Nφrager B. Egstrup K. Mφller J.E. 柴大军
• 机 构: Department of Cardiology Odense University Hospital Odense Denmark Dr. ,
• 出 处: 世界核心医学期刊文摘(心脏病学分册)
• 发表日期: 2006年03期
• 关键词: 室壁运动异常 心室扩张 急性心肌梗死 左室舒张 早期预测 舒张期 心室重构 左室重构 心肌 彩色室壁运动

To determine the relation between regional diastolic wall motion abnormality and left ventricular remodeling after acute myocardial infarction(AMI), Doppler echocardiography and color kinesis with assessment of global and regional systolic and diastolic functions were performed in 84 patients who developed AMI within 24 hours of admission. In a multivariate logistic regression analysis, the percentage of left ventricular myocardial segments with diastolic wall motion abnormality(p=0.008), absence of myocardial viability(p=0.01), and overall diastolic function(p=0.001) were predictors of remodeling after AMI.

To determine the relation between regional diastolic wall motion abnormality and left ventricular remodeling after acute myocardial infarction (AMI), Doppler echocardiography and color kinesis with assessment of global and regional systolic and diastolic functions were performed in 84 patients who developed AMI within 24 hours of admission . In a multivariate logistic regression analysis, the percentage of left ventricular myocardial segments with diastolic wall motion abnormality (p = 0.008), absence of myocardial viability (p = 0.01), and overall diastolic function (p = 0.001) were predictors of remodeling after AMI.