Echocardiographic and angiographic correlations in patients with cardiogenic shock secondary to acute myocardial infarction.

Echocardiographic and angiographic correlations in patients with cardiogenic shock secondary to acute myocardial infarction. Research Abstract Details 

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Echocardiographic and angiographic correlations in patients with cardiogenic shock secondary to acute myocardial infarction. Abstract Text:

M Joshua Berkowitz,Michael H Picard,Shannon Harkness,Timothy A Sanborn,Judith S Hochman,James N Slater,

In patients with cardiogenic shock (CS) complicating acute myocardial infarction, echocardiographic and angiographic findings are used to aid diagnosis, determine prognosis, and guide management. The purpose of this analysis from the Should we emergently revascularize Occluded Coronary arteries for Cardiogenic ShocK (SHOCK) trial is to identify relations between the angiographic and echocardiographic features of patients with CS. Such an analysis of the correlations between echocardiographic and angiographic findings in patients with CS may provide insights into the etiology and treatment of CS. In 302 randomized patients, an echocardiogram and an angiogram before revascularization were available in 127 patients. Although the median ejection fraction derived by echocardiography and left ventricular angiography was identical (30%), the positive correlation was weak (R2 = 0.209, p = 0.019). Patients with a larger number of diseased vessels had worse mitral regurgitation (MR) by echocardiography (p = 0.005). There was a significant but weak association between left ventricular angiographic MR grade and echocardiographic MR severity (R2 = 0.162, p = 0.015), but there was no association between culprit vessel and degree of MR. In conclusion, worse coronary artery disease is associated with more severe MR. Echocardiography and angiography are valuable and result in similar estimated ejection fractions in a large cohort, but there is wide variation between the techniques in patients.

Echocardiographic and angiographic correlations in patients with cardiogenic shock secondary to acute myocardial infarction. Publishing Authors By Initials

MJ Berkowitz,MH Picard,S Harkness,TA Sanborn,JS Hochman,JN Slater,

For similar circulatory and respiratory physiology: cardiovascular physiology: cardiovascular physiologic processes: ventricular function: ventricular function, left research abstracts see: circulatory and respiratory physiology: cardiovascular physiology: cardiovascular physiologic processes: ventricular function: ventricular function, left research

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Echocardiographic and angiographic correlations in patients with cardiogenic shock secondary to acute myocardial infarction. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: The American journal of cardiology

VOLUME: 98

Page Numbers: 1004-8

Journal Abbreviation: Am. J. Cardiol.

ISSN: 0002-9149

DAY: 28

MONTH: 08

YEAR: 2006

Echocardiographic and angiographic correlations in patients with cardiogenic shock secondary to acute myocardial infarction. Information

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LANGUAGE: eng

NlmUniqueID: 207277

Echocardiographic and angiographic correlations in patients with cardiogenic shock secondary to acute myocardial infarction. Keywords Mesh Terms:

KEYWORDS: Ventricular Function, Left

MESH TERMS: therapy

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Grant and Affiliation Information for Echocardiographic and angiographic correlations in patients with cardiogenic shock secondary to acute myocardial infarction.

AFFILIATION: Cardiovascular Clinical Research Center, New York University School of Medicine, New York, New York, USA. mjoshb@cox.net

Country: United States

AGENCY: United States NHLBI

GRANT: R01-HL50020

ACRONYM: HL

MEDLINETA: Am J Cardiol

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