http://www.cnr.it/ontology/cnr/individuo/prodotto/ID319324

Right ventricular dysfunction: an independent and incremental predictor of cardiac deaths late after acute myocardial infarction (Articolo in rivista)

Type

Label

Right ventricular dysfunction: an independent and incremental predictor of cardiac deaths late after acute myocardial infarction (Articolo in rivista) (literal)

Anno

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#doi

Alternative label

Di Bella, Gianluca; Siciliano, Valeria; Aquaro, Giovanni Donato; De Marchi, Daniele; Rovai, Daniele; Carerj, Scipione; Molinaro, Sabrina; Lombardi, Massimo; Pingitore, Alessandro (2014)
Right ventricular dysfunction: an independent and incremental predictor of cardiac deaths late after acute myocardial infarction
in The international journal of cardiovascular imaging; Springer Science+Business Media, Dordrecht (Germania)
(literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori

Di Bella, Gianluca; Siciliano, Valeria; Aquaro, Giovanni Donato; De Marchi, Daniele; Rovai, Daniele; Carerj, Scipione; Molinaro, Sabrina; Lombardi, Massimo; Pingitore, Alessandro (literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#url

http://www.scopus.com/record/display.url?eid=2-s2.0-84908279408&origin=inward (literal)

Rivista

Note

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni

Università degli Studi di Messina; Consiglio Nazionale delle Ricerche; Fondazione Toscana G. Monasterio (literal)

Titolo

Right ventricular dysfunction: an independent and incremental predictor of cardiac deaths late after acute myocardial infarction (literal)

Abstract

Prognostic implication of right ventricular dysfunction and infarction scar in the chronic phase of the myocardial infarction has been little analyzed. In 299 consecutive patients (age 63 ± 11 years) with >3 months old myocardial infarction, we quantified right and left ventricular volumes and ejection fractions by cine cardiac magnetic resonance, and right and left ventricular scar tissue by late gadolinium enhancement. During follow-up (median, 2.4 years) cardiac events (cardiac-related deaths or appropriate intra-cardiac defibrillator shocks) occurred in 21 patients. Right ventricular systolic dysfunction (ejection fraction lower the reference mean values--2 SD) was present in 67 patients (22 %), right ventricular late gadolinium enhancement was observed in 15 patients (5 %). After adjustment for left ventricular end-diastolic volume, wall motion score index, and global extent of late gadolinium enhancement, right ventricular dysfunction was an independent and incremental predictor of cardiac events (p = 0.0053), while right ventricular scar tissue extent was not. Right ventricular dysfunction is an independent and incremental predictor of cardiac events also in the chronic phase of the myocardial infarction. In these patients, right ventricular dysfunction does not necessarily mean right ventricular infarction scar, but likely reflects the effects of hemodynamic and biohumoral factors. (literal)

Editore