Clinical diagnosis of left ventricular dilatation and dysfunction in the age of technology (Articolo in rivista)

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  • Clinical diagnosis of left ventricular dilatation and dysfunction in the age of technology (Articolo in rivista) (literal)
Anno
  • 2007-01-01T00:00:00+01:00 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#doi
  • 10.1016/j.ejheart.2007.02.002 (literal)
Alternative label
  • Daniele Rovai; Maria-Aurora Morales; Gianluca Di Bella; Michele De Nes; Alessandro Pingitore; Massimo Lombardi; Giuseppe Rossi. (2007)
    Clinical diagnosis of left ventricular dilatation and dysfunction in the age of technology
    in European journal of heart failure; Elsevier BV, Amsterdam (Paesi Bassi)
    (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori
  • Daniele Rovai; Maria-Aurora Morales; Gianluca Di Bella; Michele De Nes; Alessandro Pingitore; Massimo Lombardi; Giuseppe Rossi. (literal)
Pagina inizio
  • 723 (literal)
Pagina fine
  • 729 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#url
  • http://eurjhf.oxfordjournals.org/content/9/6-7/723.short (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroVolume
  • 9 (literal)
Rivista
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#note
  • In: European Journal of Heart Failure, vol. 9 (6-7) pp. 723 - 729. Elsevier B.V., 2007. (literal)
Note
  • ISI Web of Science (WOS) (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni
  • Istituto di Fisiologia Clinica, CNR, Pisa, Italy Università di Messina, Messina, Italy (literal)
Titolo
  • Clinical diagnosis of left ventricular dilatation and dysfunction in the age of technology (literal)
Abstract
  • BACKGROUND: The diagnostic process has become increasingly dependent on instrumental and laboratory investigation. AIM: To evaluate the accuracy of symptoms and signs in identifying left ventricular (LV) dilatation and/or systolic dysfunction. METHODS: A group of 100 patients in stable clinical condition and scheduled for cardiac magnetic resonance imaging was prospectively examined by two cardiologists, who were unaware of the individual patient's condition. Patients were interviewed and underwent physical examination. RESULTS: Several symptoms and signs were associated with LV dilatation and systolic dysfunction at univariate analysis. Using multiple logistic regression, a mitral systolic murmur, a laterally displaced LV impulse, orthopnoea and hepatomegaly were all independent predictors of LV dilatation (end-diastolic volume or=110 ml/m(2)) (p0.0001) and LV dysfunction (ejection fraction 45%) (p0.0001). The combination of the above variables correctly identified 79% of patients with LV dilatation (sensitivity 51%, specificity 92%), and 82% of patients with LV dysfunction (sensitivity 68%, specificity 90%). Considering LV dilatation and dysfunction, 77% of patients were correctly identified after history alone (kappa (literal)
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