Long-term survival in patients with mild or moderate impairment of left ventricular contractility during routine diagnostic left ventriculography

dc.contributor.authorGrinfeld, Liliana
dc.contributor.authorKramer, John R.
dc.contributor.authorGoormastic, Marlene
dc.contributor.authorProudfit, William L.
dc.contributor.buuauthorAydınlar, Ali
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Kardiyoloji Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0002-8974-8837tr_TR
dc.contributor.researcheridAAI-6632-2021tr_TR
dc.contributor.scopusid6603131517tr_TR
dc.date.accessioned2021-12-07T07:17:46Z
dc.date.available2021-12-07T07:17:46Z
dc.date.issued1998-07
dc.description.abstractLong-term survival in patients with mild to moderate impairment of left ventricular contractility in the absence of coronary artery disease has not been studied extensively but the prognosis is assumed to be good. One hundred sixty-eight patients with angiographic evidence of mild or moderate impairment of left ventricular contractility and no other significant cardiac disease at the time of routine diagnostic cardiac catheterization were studied to determine long-term survival and event-free survival. Clinical characteristics, electrocardiograms, chest X-rays, laboratory data, and hemodynamics including end-diastolic volume, end-systolic volume, stroke volume, ejection fraction, and regional wall motion at the time of catheterization were examined. Patients with moderate impairment were more likely to have dyspnea (P = 0.005) and an abnormal electrocardiogram (P = 0.006) than patients with mild impairment, Mean ejection fraction was 57% (P = 0.0001 vs. normal) in patients with mild impairment and was 47% (P = 0.0001 vs, normal) in patients with moderate impairment. Wall motion studies showed impairment to be generalized and more significantly abnormal in patients with moderate impairment. Survival at a mean of 138 months could be determined in 162 of the 168 patients (96%), Fourteen year actuarial survival was 92% for patients with mild impairment compared to 75% for patients with moderate impairment (P = 0.01). Long-term prognosis is good in patients found to have mild generalized impairment at the time of routine diagnostic cardiac catheterization, In patients with moderate impairment, closer follow-up to prevent arrhythmia and the onset of congestive heart failure appears to be warranted.en_US
dc.identifier.citationGrinfeld, L. vd. (1998). "Long-term survival in patients with mild or moderate impairment of left ventricular contractility during routine diagnostic left ventriculography". Catheterization and Cardiovascular Diagnosis, 44(3), 283-290.en_US
dc.identifier.endpage290tr_TR
dc.identifier.issn0098-6569
dc.identifier.issue3tr_TR
dc.identifier.pubmed9676797tr_TR
dc.identifier.startpage283tr_TR
dc.identifier.urihttps://doi.org/10.1002/(SICI)1097-0304(199807)44:3<283::AID-CCD7>3.0.CO;2-1
dc.identifier.urihttps://onlinelibrary.wiley.com/doi/10.1002/(SICI)1097-0304(199807)44:3%3C283::AID-CCD7%3E3.0.CO;2-1
dc.identifier.urihttp://hdl.handle.net/11452/23026
dc.identifier.volume44tr_TR
dc.identifier.wos000074484300007tr_TR
dc.indexed.pubmedPubmeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherWiley-Lissen_US
dc.relation.collaborationYurt dışıtr_TR
dc.relation.collaborationSanayitr_TR
dc.relation.journalCatheterization and Cardiovascular Diagnosisen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCardiovascular system & cardiologyen_US
dc.subjectCardiomyopathyen_US
dc.subjectEjection fractionen_US
dc.subjectCongestive heart failureen_US
dc.subjectArrhythmiaen_US
dc.subjectIdiopathic dilated cardiomyopathyen_US
dc.subjectCongestive cardiomyopathyen_US
dc.subjectDiseaseen_US
dc.subjectNatural-historyen_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeClinical featureen_US
dc.subject.emtreeDiagnostic approach routeen_US
dc.subject.emtreeDisease associationen_US
dc.subject.emtreeElectrocardiogramen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeHeart catheterizationen_US
dc.subject.emtreeHeart functionen_US
dc.subject.emtreeHeart left ventricle contractilityen_US
dc.subject.emtreeHeart ventriculographyen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreePatient codingen_US
dc.subject.emtreePrognosisen_US
dc.subject.emtreeSurvival timeen_US
dc.subject.meshAdulten_US
dc.subject.meshElectrocardiographyen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-up studiesen_US
dc.subject.meshHearten_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle ageden_US
dc.subject.meshMyocardial contractionen_US
dc.subject.meshSurvival analysisen_US
dc.subject.meshTime factorsen_US
dc.subject.meshVentricular dysfunction, leften_US
dc.subject.meshVentricular function, leften_US
dc.subject.scopusHeart Muscle Fibrosis; Restrictive Cardiomyopathy; Hypereosinophilic Syndromeen_US
dc.subject.wosCardiac & cardiovascular systemsen_US
dc.titleLong-term survival in patients with mild or moderate impairment of left ventricular contractility during routine diagnostic left ventriculographyen_US
dc.typeArticle
dc.wos.quartileQ2en_US

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