Ventricular function in coronary heart disease
Pereira, A.; Suárez, J.; Rivera, J.V.
Boletin de la Asociacion Medica de Puerto Rico 73(9): 440-441
1981
ISSN/ISBN: 0004-4849 PMID: 6949593 Document Number: 702970
A 46 years old male was admitted on February 2, 1981 with complaints of exceptional dyspnea and retrostenal oppressive pain. In January 1981, he was treated at another hospital for an acute inferior myocardial infarction. The patient was a heavy smoker. Physical examination revealed a Kussmaul sign and a soft fourth heart sound. Lungs were clear. Electrocardiogram showed old inferolateral myocardial infarction. Stress electrograms were considered unsatisfactory because exercise was stopped prematurely as a result of pain in the patient's legs. Gated cardiac blood pool (99m Tc erythrocytes) study yielded a left ventricular ejection fraction of 52 percent. Wall motion studies demonstrated hypokinesis of the inferolateral and septal regions of the left ventricle.
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