Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1982-6-21
pubmed:abstractText
Electrocardiograms (ECGs) were reviewed in patients undergoing left ventricular aneurysmectomy. Post-operatively, significant decreases were noted in ST segment elevation (p less than 0.001) and anterior (p less than 0.03) and inferior R wave heights (p less than 0.002). In addition, abnormal Q waves disappeared in 50% of patients. Comparison of ECG changes between survivors and patients dying of cardiac related events revealed that patients with a preoperative axis of greater than or equal to 60 degrees, postoperative leftward axis shifts and a marked decrease in ST segment elevation and/or R wave height had significantly higher mortality. Conclusion: 1) Left ventricular aneurysmectomy affects ventricular depolarization as evidenced by a significant loss of R wave height and changes in infarct pattern; 2) LVA affects ventricular repolarization as evidenced by a significant decrease in ST elevation; 3) the ventricular aneurysm appears to contain "viable muscle" that contributes to ventricular depolarization and remains partially depolarized during diastole; and 4) there are prognostic electrocardiographic parameters, which correlate with mortality during postoperative follow-up.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0022-0736
pubmed:author
pubmed:issnType
Print
pubmed:volume
15
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
173-9
pubmed:dateRevised
2009-11-11
pubmed:meshHeading
pubmed:year
1982
pubmed:articleTitle
The effect of left ventricular aneurysmectomy on the electrocardiogram: a study of 77 patients and review of the literature.
pubmed:publicationType
Journal Article