Comparison of frequency of left ventricular wall motion abnormalities in patients with a first acute myocardial infarction with versus without left ventricular hypertrophy

Yoram Neuman, Bojan Cercek, Joseph Aragon, Steve Lee, Sergio Kobal, Takashi Miyamoto, Huai Luo, Kirsten Tolstrup, Tasneem Z. Naqvi, Yochai Birnbaum, Robert J. Siegel

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

One hundred fifty patients with their first acute myocardial infarctions (AMIs) were studied. AMIs were confirmed by troponin levels, ST-segment elevation, or angiographic coronary occlusion. In 36% of patients (16 of 45) with left ventricular (LV) hypertrophy, the wall motion score index was normal, whereas in patients with no LV hypertrophy, only 18% (19 of 105) had no segmental wall motion abnormalities (p = 0.03). When adjusting for troponin level, the odds ratio for normal wall motion of patients with LV hypertrophy was 2.86 (95% confidence interval 1.26 to 6.50) compared with those with normal wall thickness. Consequently, normal LV wall motion by echocardiography in the setting of LV hypertrophy does not exclude AMI.

Original languageEnglish (US)
Pages (from-to)763-766
Number of pages4
JournalAmerican Journal of Cardiology
Volume94
Issue number6
DOIs
StatePublished - Sep 15 2004

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Comparison of frequency of left ventricular wall motion abnormalities in patients with a first acute myocardial infarction with versus without left ventricular hypertrophy'. Together they form a unique fingerprint.

Cite this