Left ventricular function of survivors of a first complicated acute myocardial infarction. A prehospital discharge cross-sectional echocardiographic study

1988 ◽  
Vol 19 (1) ◽  
pp. 67-80 ◽  
Author(s):  
Sudhir K. Bhatnagar ◽  
Abdul Razzak Al-Yusuf ◽  
Mohammad Khalid Nawaz ◽  
Riad Hamza Bahar ◽  
Hussein Mahmoud Abdel Dayem
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Left Ventricular Function ◽  
Ventricular Function ◽  
Left Ventricular ◽  
Cross Sectional ◽  
Echocardiographic Study

scholarly journals Plasma Brain Natriuretic Peptide (BNP) as an Indicator of Left Ventricular Function, Early Outcome and Mechanical Complications after Acute Myocardial Infarction

2011 ◽  
Vol 5 ◽  
pp. CMC.S7189 ◽  
Author(s):  
A. Fazlinezhad ◽  
M. Khadem Rezaeian ◽  
H. Yousefzadeh ◽  
K. Ghaffarzadegan ◽  
M. Khajedaluee
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Left Ventricular Function ◽  
Ventricular Function ◽  
Natriuretic Peptide ◽  
Significant Relationship ◽  
Left Ventricular ◽  
Control Group ◽  
Cross Sectional ◽  
Mechanical Complications

Aims This study investigated the prognostic value of B type natriuretic peptide (BNP) in acute myocardial infarction (AMI) patients and its relation with left ventricular function and post-myocardial infarction complications. Methods In this cross-sectional study, plasma BNP level was measured for 42 consecutive patients (mean ± SD: 61.6 ± 10.85 years old) with acute ST elevation myocardial infarction (MI) and 42 healthy, age and gender matched subjects. Result BNP level in AMI patients were significantly higher than control group (@ P < 0.001). Regarding to infarct location, the highest BNP level measured in inferoposterior MI (BNP = 4436.63 ± 6188.159 pg/ml) and the lowest one indicated in standalone inferior MI (BNP = 598.83 ± 309.867 pg/ml ( P = 0.071). There was significant reverse relation between BNP and EF ( P = 0.006, OR = −0.47) and a significant relationship between BNP and killip classification ( P = 0.036). There was no significant relation between diastolic and right-ventricular function and BNP level ( P = 0.61, P = 0.21). The highest BNP level was detected in LV septal rupture and false aneurysm ( P = 0.02) and in ventricular tachycardia, but without significant relationship ( P = 0.25). Conclusion After the onset of AMI, BNP blood level can be used as an important predictor for left ventricular dysfunction, killip classification, early mechanical complications and cardiac death.

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