Usefulness of myocardial viability or ischemia in predicting long-term survival for patients with severe left ventricular dysfunction undergoing revascularization

Am J Cardiol. 2004 May 15;93(10):1275-9. doi: 10.1016/j.amjcard.2004.01.071.

Abstract

In 107 patients with coronary disease and severe left ventricular dysfunction, we examined the prognostic power of viability identified by dobutamine stress echocardiography. At a mean follow-up of 27 months, patients with viable myocardium who underwent revascularization had a significant survival advantage over all other patients (2-year survival 83.5% vs 57.2%, p = 0.0037).

Publication types

  • Evaluation Study

MeSH terms

  • Angioplasty, Balloon, Coronary
  • Cardiotonic Agents
  • Dobutamine
  • Echocardiography
  • Exercise Test
  • Female
  • Georgia
  • Humans
  • Male
  • Middle Aged
  • Myocardial Ischemia / complications
  • Myocardial Ischemia / diagnosis*
  • Myocardial Ischemia / diagnostic imaging
  • Myocardial Ischemia / mortality*
  • Myocardial Ischemia / therapy
  • Prognosis
  • Survival Analysis
  • Ventricular Dysfunction, Left / complications*
  • Ventricular Dysfunction, Left / physiopathology

Substances

  • Cardiotonic Agents
  • Dobutamine