TY - JOUR
T1 - Comparison of frequency of left ventricular wall motion abnormalities in patients with a first acute myocardial infarction with versus without left ventricular hypertrophy
AU - Neuman, Yoram
AU - Cercek, Bojan
AU - Aragon, Joseph
AU - Lee, Steve
AU - Kobal, Sergio
AU - Miyamoto, Takashi
AU - Luo, Huai
AU - Tolstrup, Kirsten
AU - Naqvi, Tasneem Z.
AU - Birnbaum, Yochai
AU - Siegel, Robert J.
PY - 2004/9/15
Y1 - 2004/9/15
N2 - One hundred fifty patients with their first acute myocardial infarctions (AMIs) were studied. AMIs were confirmed by troponin levels, ST-segment elevation, or angiographic coronary occlusion. In 36% of patients (16 of 45) with left ventricular (LV) hypertrophy, the wall motion score index was normal, whereas in patients with no LV hypertrophy, only 18% (19 of 105) had no segmental wall motion abnormalities (p = 0.03). When adjusting for troponin level, the odds ratio for normal wall motion of patients with LV hypertrophy was 2.86 (95% confidence interval 1.26 to 6.50) compared with those with normal wall thickness. Consequently, normal LV wall motion by echocardiography in the setting of LV hypertrophy does not exclude AMI.
AB - One hundred fifty patients with their first acute myocardial infarctions (AMIs) were studied. AMIs were confirmed by troponin levels, ST-segment elevation, or angiographic coronary occlusion. In 36% of patients (16 of 45) with left ventricular (LV) hypertrophy, the wall motion score index was normal, whereas in patients with no LV hypertrophy, only 18% (19 of 105) had no segmental wall motion abnormalities (p = 0.03). When adjusting for troponin level, the odds ratio for normal wall motion of patients with LV hypertrophy was 2.86 (95% confidence interval 1.26 to 6.50) compared with those with normal wall thickness. Consequently, normal LV wall motion by echocardiography in the setting of LV hypertrophy does not exclude AMI.
UR - http://www.scopus.com/inward/record.url?scp=4544338424&partnerID=8YFLogxK
U2 - 10.1016/j.amjcard.2004.05.061
DO - 10.1016/j.amjcard.2004.05.061
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C2 - 15374782
AN - SCOPUS:4544338424
SN - 0002-9149
VL - 94
SP - 763
EP - 766
JO - American Journal of Cardiology
JF - American Journal of Cardiology
IS - 6
ER -