左右心室射血分数：与急性心肌梗死一年预后的关系

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

作者信息

Gadsbøll N, Høilund-Carlsen P F, Madsen E B, Marving J, Pedersen A, Lønborg-Jensen H, Dige-Petersen H, Jensen B H

机构信息

Department of Cardiology, Glostrup Hospital, Copenhagen, Denmark.

出版信息

Eur Heart J. 1987 Nov;8(11):1201-9. doi: 10.1093/oxfordjournals.eurheartj.a062193.

DOI:10.1093/oxfordjournals.eurheartj.a062193

PMID:3691556

Abstract

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 AMI, 26% had normal ejection fractions, 10% had a 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.

摘要

通过放射性核素血管造影术对423例急性心肌梗死（AMI）患者测量了右心室和左心室射血分数（RVEF和LVEF）。所有检查均在出院时进行。在304例首次发生AMI的患者中，26%射血分数正常，10%仅RVEF降低，46%仅LVEF降低，18%RVEF和LVEF均降低。在一年的随访期内，52例患者死于心脏原因。出院时RVEF降低与一年死亡率几乎没有关系（如果有关系的话也很小）。相比之下，LVEF与一年心脏死亡率之间存在反向曲线关系。