Algorithm to detect left ventricular dysfunction after myocardial infarction

BMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7030.579a (Published 02 March 1996) Cite this as: BMJ 1996;312:579

Low specificity of algorithm would lead to extensive overtreatment

  1. Dawood Darbar,
  2. Anna-Maria J Choy,
  3. Chim C Lang,
  4. Neil Davidson,
  5. Allan D Struthers,
  6. Terence H Pringle,
  7. Graeme P McNeill
  1. Research fellow Research fellow Research fellow Vanderbilt University School of Medicine, Nashville, TN 37232-6602, USA
  2. Research fellow Professor of clinical pharmacology Department of Clinical Pharmacology, Ninewells Hospital and Medical School, Dundee DD1 9SY
  3. Consultant cardiologist Consultant cardiologist Department of Cardiology, Ninewells Hospital and Medical School

    EDITOR,—Several large studies have shown that angiotensin converting enzyme inhibitors reduce mortality in patients with left ventricular dysfunction after acute myocardial infarction.1 2 However, left ventricular dysfunction after acute myocardial infarction is difficult to detect on clinical examination, and McMurray and Rankin devised a clinical algorithm to help doctors.3 This algorithm emphasises the importance of a Q wave anterior infarction, previous acute myocardial infarction, and clinical evidence of left ventricular failure, but its accuracy has not been assessed in clinical practice.

    We have assessed the …

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