Author/Authors :
Neuman، نويسنده , , Yoram and Cercek، نويسنده , , Bojan and Aragon، نويسنده , , Joseph and Lee، نويسنده , , Steve and Kobal، نويسنده , , Sergio and Miyamoto، نويسنده , , Takashi and Luo، نويسنده , , Huai and Tolstrup، نويسنده , , Kirsten and Naqvi، نويسنده , , Tasneem Z. and Birnbaum، نويسنده , , Yochai and Siegel، نويسنده , , Robert J.، نويسنده ,
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.
