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Letters |1 May 1995

Predicting Ejection Fraction after Myocardial Infarction

Marc T. Silver, MD; Geoffrey A. Rose, MD; Patrick T. O'Gara, MD

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IN RESPONSE:
We appreciate the opportunity to respond to the comments of Dr. Darbar and colleagues and Dr. Zema on our clinical rule to identify patients with preserved LVEF after myocardial infarction.
Darbar and colleagues applied our clinical prediction rule to a subset of patients admitted to their coronary care unit. They had data on 55 of 75 randomly selected patients; only 13 of these patients were predicted to have an LVEF of 40% or greater. Measurements showed that only 9 of these 13 patients had preserved LVEF, yielding a positive predictive value of 69%; this is apparently much lower...
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Silver MT, Rose GA, O'Gara PT. Predicting Ejection Fraction after Myocardial Infarction. Ann Intern Med. 1995;122:730. doi: 10.7326/0003-4819-122-9-199505010-00042

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Published: Ann Intern Med. 1995;122(9):730.

DOI: 10.7326/0003-4819-122-9-199505010-00042

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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