Ejection Fraction by Echocardiography for a Selective Use of Magnetic Resonance After Infarction.
Aged
Echocardiography
Female
Heart Failure
/ diagnosis
Humans
Magnetic Resonance Imaging, Cine
Male
Middle Aged
Patient Readmission
Percutaneous Coronary Intervention
Predictive Value of Tests
Prospective Studies
Registries
Reproducibility of Results
ST Elevation Myocardial Infarction
/ diagnostic imaging
Stroke Volume
Time Factors
Treatment Outcome
Ventricular Dysfunction, Left
/ diagnostic imaging
Ventricular Function, Left
echocardiography
heart failure
magnetic resonance
myocardial infarction
prognosis
risk
ventricular ejection fraction
Journal
Circulation. Cardiovascular imaging
ISSN: 1942-0080
Titre abrégé: Circ Cardiovasc Imaging
Pays: United States
ID NLM: 101479935
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
entrez:
10
12
2020
pubmed:
11
12
2020
medline:
16
3
2021
Statut:
ppublish
Résumé
Background Cardiac magnetic resonance (CMR) permits robust risk stratification of discharged ST-segment-elevation myocardial infarction patients, but its indiscriminate use in all cases is not feasible. We evaluated the utility of left ventricular ejection fraction (LVEF) by echocardiography for a selective use of CMR after ST-segment-elevation myocardial infarction. Methods Echocardiography and CMR were performed in 1119 patients discharged for ST-segment-elevation myocardial infarction included in a multicenter registry. The prognostic power of CMR beyond echocardiography-LVEF was assessed using adjusted C statistic, net reclassification improvement index, and integrated discrimination improvement index. Results During a 4.8-year median follow-up, 136 (12%) first major adverse cardiac events (MACE) occurred (47 cardiovascular deaths and 89 readmissions for acute heart failure). In the entire group, CMR-LVEF (but not echocardiography-LVEF) independently predicted MACE occurrence. The MACE rate significantly increased only in patients with CMR-LVEF<40% (≥50%: 7%, 40%-49%: 9%, <40%: 27%,
Identifiants
pubmed: 33297764
doi: 10.1161/CIRCIMAGING.120.011491
doi:
Types de publication
Comparative Study
Journal Article
Multicenter Study
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e011491Commentaires et corrections
Type : CommentIn