Relation of left ventricular sphericity to 10-year survival after acute myocardial infarction.
After ST-elevation myocardial infarction, the association between left ventricular sphericity (measured by biplane ventriculography) and survival rate at a median of 6.5 years was determined in 825 patients. The highest tertile of sphericity (vs the lowest and middle tertiles) was associated with a decreased 10-year survival rate in patients who had anterior myocardial infarction (p = 0.002), inferior myocardial infarction (p = 0.011), Thrombolysis In Myocardial Infarction (TIMI) grade 3 flow (p = 0.005), or TIMI grade 0 to 2 flow (p = 0.001) in the infarct artery. The independent multivariate predictors of a 10-year survival rate were ejection fraction (p = 0.002), treadmill exercise duration (p = 0.004), biplane left ventricular sphericity index (p = 0.032), age (p = 0.043), and end-systolic volume index (p = 0.047), but not TIMI flow grade.
Wong
Selwyn P
SP
Cardiology Department, Green Lane Hospital, Auckland, New Zealand.
French
John K
JK
Lydon
Anna-Maria
AM
Manda
Samuel O M
SO
Gao
Wanzhen
W
Ashton
Noel G
NG
White
Harvey D
HD
D002932:Cineangiography; D005080:Exercise Test; D005260:Female; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality* / Q000473:pathology / Q000503:physiopathology; D015635:Radionuclide Ventriculography; D016032:Randomized Controlled Trials as Topic; D013318:Stroke Volume; D015996:Survival Rate; D016277:Ventricular Function, Left; D020257:Ventricular Remodeling