0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

Left Ventricular Anatomical and Functional Abnormalities in Chronic Postinfarction Heart Failure

WILLIAM A. BAXLEY, M.D., F.A.C.P.; WILLIAM B. JONES, M.D., F.A.C.P.; and HAROLD T. DODGE, M.D., F.A.C.P.
[+] Article and Author Information

Presented in part at the 49th Annual Session, American College of Physicians, 1 April 1968, Boston, Mass.

▸Requests for reprints should be addressed to William A. Baxley, M.D., Department of Medicine, University of New Mexico, Albuquerque, N.M. 87106


Birmingham, Alabama


Ann Intern Med. 1971;74(4):499-508. doi:10.7326/0003-4819-74-4-499
Text Size: A A A

Fifty patients with chronic postmyocardial infarction heart failure had quantitative biplane angiocardiography; 42 also had coronary angiography. Mitral regurgitation, localized ventricular contraction abnormality, increased end-diastolic volume, low ejection fraction, low cardiac index, and high left ventricular end-diastolic pressure occurred in various combinations. Mitral regurgitation averaged 2.11 liter/min per m2 body surface area and occurred most commonly with right coronary occlusion, low cardiac index or elevated left ventricular end-diastolic pressure or both, and left ventricular end-diastolic volumes exceeding 155 ml/m2 body surface area. End-diastolic volumes were increased in 86% and ranged to 450 ml/m2 body surface area. Ejection fractions were below 0.50 in 92%. Coronary angiographic findings correlated poorly with ventricular hemodynamic values. Localized contraction abnormalities included aneurysms with up to 40 ml per stroke paradoxical blood flow. Localized contraction abnormalities were not significantly more frequent in patients with low cardiac indexes or elevated left ventricular end-diastolic pressure, or both. High ventricular filling pressure or a low cardiac index, or both, was not commoner with multiple than with single vessel disease.

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Related Point of Care
Topic Collections
PubMed Articles

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)