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November 1, 2002Angiology

Comparison of Two Different Methods for the Evaluation of Left Ventricular Ejection Fraction in Patients with Coronary Artery Disease

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Why the study?

Does the myocardial performance index (MPI) formula accurately estimate left ventricular ejection fraction compared to geometric echocardiography and contrast angiography in patients with coronary artery disease?

Population

26 patients with proven coronary artery disease, mean age 63+/-10 years, who underwent left ventricular…

Comparison

Left ventricular ejection fraction evaluation… vs LVEF evaluation using the Wyatt formula and…

Design

Cross-sectional

Authors

DPDaniele PontilloOspedale di BelcolleNPNicolino PatrunoOspedale di BelcolleACA CapezzutoUniversidade de São Paulo

Discussion

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Implication

MPI should not yet guide LVEF assessment in CAD; leaves open need for prospective validation of refined indices.

Structured PICO

Does the myocardial performance index (MPI) formula accurately estimate left ventricular ejection fraction compared to geometric echocardiography and contrast angiography in patients with coronary artery disease?

P
Population
26 patients with proven coronary artery disease (CAD), mean age 63+/-10 years, who underwent left ventricular catheterization and coronary angiography during hospital stay
I
Intervention
Left ventricular ejection fraction (LVEF) evaluation using the myocardial performance index (MPI) formula (MPI-LVEF)
C
Comparator
LVEF evaluation using the Wyatt formula (W-LVEF) and contrast angiography
O
Outcome
Agreement and correlation of LVEF values between MPI-LVEF, W-LVEF, and contrast angiographysurrogate

The myocardial performance index formula is not a reliable or accurate method for evaluating left ventricular ejection fraction in patients with coronary artery disease compared to geometric echocardiographic methods or contrast angiography.

Cite This Study

Pontillo et al. (2002) studied this question.

synapsesocial.com/papers/6a0fddf35725bbd5cc602cachttps://doi.org/10.1177/000331970205300610
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Doppler Echocardiographic Myocardial Performance Index Predicts Left-Ventricular Dilation and Cardiac Death after Myocardial Infarction2001 · 60 citations
  2. 2The prognostic value of predischarge quantitative two-dimensional echocardiographic measurements and the effects of early lisinopril treatment on left ventricular structure and function after acute myocardial infarction in the GISSI-3 Trial1996 · 110 citations
  3. 3Cross-sectional echocardiography. I. Analysis of mathematic models for quantifying mass of the left ventricle in dogs.1979 · 375 citations