PMID- 10668011
OWN - NLM
STAT- MEDLINE
DCOM- 20000309
LR  - 20220410
IS  - 0894-7317 (Print)
IS  - 0894-7317 (Linking)
VI  - 13
IP  - 2
DP  - 2000 Feb
TI  - Noninvasive assessment of left ventricular systolic function by stress-shortening 
      relation, rate of change of power, preload-adjusted maximal power, and ejection 
      force in idiopathic dilated cardiomyopathy: prognostic implications.
PG  - 87-95
AB  - Indexes of left ventricular systolic function that are considered relatively 
      load-insensitive were assessed to determine their relation to the severity of 
      heart failure symptoms and their ability to predict the outcome of idiopathic 
      dilated cardiomyopathy. Stress, flow, power, and ejection force were calculated 
      throughout ejection by echocardiography at rest in 35 patients with idiopathic 
      dilated cardiomyopathy and in 20 control subjects. Patients were evaluated 
      prospectively every 6 months for 2 years. Asymptomatic patients were separated 
      most clearly from New York Heart Association (NYHA) class II by end-systolic 
      stress; NYHA class II patients were separated from NYHA class III and the latter 
      from NYHA class IV by peak rate of change of flow. Ten patients showed 
      improvement in symptoms as well as in systolic indexes; none of them died during 
      the follow-up. Improvement was unpredictable with the evaluated variables. One- 
      and 2-year cardiovascular mortality rates were 17% and 26%, respectively. 
      Patients whose condition did not improve after the first year had a 17% 
      second-year mortality rate. Peak rate of change of power predicted death with 
      100% sensitivity, 56% specificity, and 64% positive predictive value in NYHA III 
      and IV patients.
FAU - Avramides, D
AU  - Avramides D
AD  - Department of Cardiology, NIMTS Hospital, Athens, Greece.
FAU - Perakis, A
AU  - Perakis A
FAU - Voudris, V
AU  - Voudris V
FAU - Gezerlis, P
AU  - Gezerlis P
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Am Soc Echocardiogr
JT  - Journal of the American Society of Echocardiography : official publication of the 
      American Society of Echocardiography
JID - 8801388
SB  - IM
MH  - Blood Flow Velocity
MH  - Cardiomyopathy, Dilated/diagnostic imaging/mortality/*physiopathology
MH  - Carotid Arteries/physiopathology
MH  - Echocardiography, Doppler, Pulsed
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Myocardial Contraction
MH  - Prognosis
MH  - Prospective Studies
MH  - *Stroke Volume
MH  - Survival Rate
MH  - Systole
MH  - *Ventricular Function, Left
EDAT- 2000/02/11 09:00
MHDA- 2000/03/11 09:00
CRDT- 2000/02/11 09:00
PHST- 2000/02/11 09:00 [pubmed]
PHST- 2000/03/11 09:00 [medline]
PHST- 2000/02/11 09:00 [entrez]
AID - S0894731700154963 [pii]
AID - 10.1016/s0894-7317(00)90019-1 [doi]
PST - ppublish
SO  - J Am Soc Echocardiogr. 2000 Feb;13(2):87-95. doi: 10.1016/s0894-7317(00)90019-1.