title: [Is the prognosis of non-thrombolysed inferior infarction benign?].
abstract: Between 1978 and 1983, 2,970 coronary angiographies were performed at the Cardiology Clinic of Necker Hospital; 220 survivors of an initial Q-wave inferior infarction who had not received thrombolytic therapy were selected. The ejection fraction was 55 +/- 11 per cent, and the indexed end diastolic left ventricular volume was 108 +/- 29 ml/m2. The left anterior descending artery was diseased in 57 per cent of cases. The incidence of multivessel disease was 67 per cent. Two hundred and eleven patients (96%) were followed up for 79 +/- 22 months. The prevalence of cardiovascular events was: cardiac deaths: 22 (10%), recurrent infarction: 20 (9%), angina requiring coronary bypass surgery: 60 (28%), cardiac failure: 22 (10%). The 10 year actuarial survival was significantly lower in patients with an ejection fraction less than 45 per cent (46% vs 91%) and in patients with triple vessel disease (62% vs 92% and 88%). The survival was not lower in patients with stenosis of the left anterior descending artery.
authors.affiliation: Clinique cardiologique, hôpital Necker, Paris.
authors.forename: X
authors.initials: X
authors.lastname: Tabone
authors.forename: J L
authors.initials: JL
authors.lastname: Georges
authors.forename: M A
authors.initials: MA
authors.lastname: Freitas da Frota
authors.forename: C
authors.initials: C
authors.lastname: Le Feuvre
authors.forename: J
authors.initials: J
authors.lastname: Berdah
authors.forename: A
authors.initials: A
authors.lastname: Heulin
authors.forename: J P
authors.initials: JP
authors.lastname: Metzger
authors.forename: A
authors.initials: A
authors.lastname: Vacheron
mesh_terms: D000206:Actuarial Analysis; D000328:Adult; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000401:mortality / Q000473:pathology / Q000628:therapy; D011379:Prognosis; D012008:Recurrence; D013318:Stroke Volume; D016019:Survival Analysis
vernacular_title: Le pronostic des infarctus postérieurs non thrombolysés est-il bénin?