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June 1, 1997Coronary Artery Disease

Markers of risk after acute myocardial infarction. A comparison of clinical variables, ambulatory and exercise electrocardiography, echocardiography, and stress echocardiography

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Why the study?

Do noninvasive tests including stress echocardiography and ambulatory electrocardiography predict long-term mortality in patients aged < 75 years recovering from acute myocardial infarction?

Population

74 patients aged < 75 years who had had an acute myocardial infarction.

Design

Cohort

Follow-up

> or = 3 years

Authors

MQMiguel QuintanaSociedad Española de CardiologíaKLKaj LindvallSabbatsberg HospitalFBFredrik BrolundSabbatsberg Hospital

Discussion

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Implication

May aid post-MI risk stratification; leaves open whether targeting these markers improves survival.

Structured PICO

Do noninvasive tests including stress echocardiography and ambulatory electrocardiography predict long-term mortality in patients aged < 75 years recovering from acute myocardial infarction?

P
Population
74 patients aged < 75 years who had had an acute myocardial infarction.
I
Intervention
Risk stratification using clinical variables, two-dimensional echocardiography, ambulatory electrocardiography (ST-segment changes and heart rate variability), and combined exercise test with stress echocardiography.
O
Outcome
Long-term mortality and cardiac events (death, nonfatal reinfarction, and the need for revascularization) at > or = 3 years follow-up.hard clinical

New-onset wall-motion abnormality during stress echocardiography, ST-segment depression on ambulatory ECG, and decreased heart rate variability are strong independent predictors of long-term mortality after acute myocardial infarction.

Cite This Study

Quintana et al. (1997) studied this question.

synapsesocial.com/papers/6a1d70b833e2df9c962f8546https://doi.org/10.1097/00019501-199706000-00001

Topics

Echocardiography
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Risk stratification after myocardial infarction: A reappraisal in the era of thrombolysis1997 · 55 citations
  2. 2Exercise versus recovery electrocardiography in predicting mortality in patients with uncomplicated myocardial infarction2004 · 18 citations
  3. 3Prognostic Importance of Myocardial Ischemia Detected by Ambulatory Monitoring Early after Acute Myocardial Infarction1996 · 116 citations
  4. 4Prognostic value of residual ischaemia assessed by exercise electrocardiography and dobutamine stress echocardiography in low-risk patients following acute myocardial infarction1997 · 42 citations
  5. 5Exercise–electrocardiography and/or pharmacological stress echocardiography for non-invasive risk stratification early after uncomplicated myocardial infarction. A prospective international large scale multicentre study2002 · 43 citations