Does left ventricular aneurysm influence survival after acute myocardial infarction?
M. HERAS*, G. SANZ, A. BETRIU, L. MONT, T. DE FLORES and F. NAVARRO-LOPEZ Cardiovascular Division, Department of Medicine, Hospital Clinic i Provincial, University of Barcelona Spain Received 3 January 1989; revised 10 August 1989; . *Address fpr reprints: Magda Heras, M.D., cardiovascular Division, Hospital Clinic I Provincial, Villarroel 170, Barcelona 08036, Spain. Abstract To test whether left ventricular aneurysm independently influences survival after acute myocardial infarction, a series of 386 consecutive men aged60 years or less, were followed up for 57(40 100) months. Catheterization was performed 1 month following the infarct. Aneurysm, defined as a diastolic outward bulging with akinetic or dyskinetic systolic motion, was diagnosed in 52 patients (13 5%). Mortality was higher (29% vs 14% P < 0 02) in patients with left ventricular aneurysm; their probability of survival at 60 months was 75%vs90% in patients without aneurysm. Cox regression analysis for the whole population
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