References of "Kulbertus, Henri"
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See detailRelative prognostic value of clinical, biochemical, echocardiographic and haemodynamic variables in predicting in-hospital and one-year cardiac mortality after acute myocardial infarction.
Pierard, Luc ULg; Albert, Adelin ULg; Chapelle, Jean-Paul ULg et al

in European Heart Journal (1989), 10(1), 24-31

This study examined the relative value of clinical, biochemical, echocardiographic and haemodynamic variables, obtained early after acute myocardial infarction in predicting in-hospital and one-year ... [more ▼]

This study examined the relative value of clinical, biochemical, echocardiographic and haemodynamic variables, obtained early after acute myocardial infarction in predicting in-hospital and one-year cardiac mortality in 66 consecutive patients. Clinical examination and cross-section echocardiography were obtained in all 66 patients. An echocardiographic score index was calculated by grading wall motion from 0 to 5 in each of 16 left ventricular segments. Right-sided cardiac catheterization was performed soon after admission in 51 patients. Cardiac enzymes were measured every fourth hour in all patients and peak levels were identified in 55. During the follow-up of one year, 14 patients died of cardiac causes, seven of them during hospital stay; three patients died of a non-cardiac cause and were excluded from analysis. The echocardiographic score index was the best predictor of cardiac death and survival (chi 2 = 35), followed by Killip class on admission (chi 2 = 22), stroke volume index (chi 2 = 17) and a biochemical risk index (chi 2 = 11). Stepwise logistic discriminant analysis performed in the patients in whom all variables were obtained resulted in three independent prognostic variables: the echocardiographic score index, systemic vascular resistance at the time of catheterization and the development of infarct expansion. High- and low-risk patients are well identified by echocardiography in the acute phase of myocardial infarction. [less ▲]

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See detailPrognostic significance of a low peak serum creatine kinase level in acute myocardial infarction
Pierard, Luc ULg; Dubois, Christophe ULg; Albert, Adelin ULg et al

in American Journal of Cardiology (1989), 63(12), 792-6

To assess the prognostic significance of a low peak creatine kinase (CK) level, 723 consecutive patients admitted with acute myocardial infarction (AMI) within 16 hours after onset of symptoms were ... [more ▼]

To assess the prognostic significance of a low peak creatine kinase (CK) level, 723 consecutive patients admitted with acute myocardial infarction (AMI) within 16 hours after onset of symptoms were studied. Thrombolytic therapy was not attempted during the study. Patients were dichotomized according to their peak CK levels, determined from a cluster analysis of peak CK distribution among the population of patients who died within 3 years after hospital discharge. The 139 patients with low peak CK (less than or equal to 650 IU/liter) (group 1) were compared to the 584 patients with high peak CK (greater than 650 IU/liter) (group 2). Patients in group 1 were older and had a higher incidence of previous AMI, angina pectoris before AMI and non-Q-wave AMI. Despite a lower incidence of in-hospital complications and a nonsignificantly lower hospital mortality rate (4 vs 9%) the group 1 three-year posthospital mortality rate was higher (26 vs 17%; p less than 0.02), especially in the subgroup of patients with a Q-wave infarct (mortality 31% in group 1 vs 16% in group 2; p less than 0.001). Among the 491 patients who had a first Q-wave AMI, 55 had a peak CK less than or equal to 650 IU/liter. Compared to the 436 patients with a higher peak CK, these 55 patients had a higher incidence of early postinfarction angina (31 vs 14%; p less than 0.01), a similar hospital mortality (4 vs 7%) but a higher 3-year posthospital mortality (23 vs 12%; p less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS) [less ▲]

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See detailPrediction of mortality after myocardial infarction by simple clinical variables recorded during hospitalization.
PIERARD, Luc ULg; DUBOIS, Christophe ULg; Albert, Adelin ULg et al

in Clinical Cardiology : International Journal for Cardiovascular Diseases (1989), 12(9), 500-4

Simple clinical variables obtainable in any coronary care unit and in any patient were recorded in 769 consecutive patients who were admitted with acute myocardial infarction (AMI) and who were discharged ... [more ▼]

Simple clinical variables obtainable in any coronary care unit and in any patient were recorded in 769 consecutive patients who were admitted with acute myocardial infarction (AMI) and who were discharged from the hospital and followed for up to 3 years. To identify the patients at highest and lowest risk of posthospital mortality, a prognostic index was established from a stepwise logistic discriminant analysis of variables obtained in a consecutive series of 418 patients discharged alive from one of two coronary care units admitting new patients on alternate days. This prognostic index was validated by applying it to a comparison group of 351 consecutive control patients discharged from the other coronary care unit. In the training group, 59 of the 418 patients (14%) died during the first year after hospital discharge and 34 (8%) died during the second or third year. The stepwise logistic discriminant analysis made it possible to distinguish between 1-year survivors and nonsurvivors, but not between the patients who died during the second and third years and the 3-year survivors. Four variables were selected for obtaining a 1-year prognostic index: the maximum grade of left ventricular function during hospitalization (0 to 4), history of previous AMI (1 or 0), predischarge cardiothoracic ratio (0 to 0.99), and complete bundle branch block (1 or 0). Prognostic index = 7.0196-0.6515 function - 1.6623 previous AMI - 0.0729 cardiothoracic ratio - 1.0813 bundle branch block. This index was validated in the comparison group.(ABSTRACT TRUNCATED AT 250 WORDS) [less ▲]

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See detailCorrelation between c-reactive protein (CRP) levels and the importance of enzyme release after myocardial infarction
Chapelle, Jean-Paul ULg; El Allaf, M.; Pierard, Luc ULg et al

in European Heart Journal Supplements : Journal of the European Society of Cardiology (1989), 10(suppl.1), 262

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See detailSignificance of serum creatine kinase isoforms for assessing myocardial infarction
El Allaf, M.; Chapelle, Jean-Paul ULg; El Allaf, Dia ULg et al

in European Heart Journal Supplements : Journal of the European Society of Cardiology (1989), 10(suppl.1), 224

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See detailShort-Term Risk Stratification at Admission Based on Simple Clinical Data in Acute Myocardial Infarction
DUBOIS, Christophe ULg; PIERARD, Luc ULg; Albert, Adelin ULg et al

in American Journal of Cardiology (1988), 61(4), 216-9

Simple clinical data, available in all coronary care units, were recorded in 1,013 consecutive patients with acute myocardial infarction (AMI). In order to identify the patients at highest and lowest risk ... [more ▼]

Simple clinical data, available in all coronary care units, were recorded in 1,013 consecutive patients with acute myocardial infarction (AMI). In order to identify the patients at highest and lowest risk of mortality during hospital stay, a prognostic index was established from a stepwise logistic discriminant analysis of 10 clinical variables obtained at admission in a consecutive series of 477 patients hospitalized in 1 of 2 coronary care units admitting new patients on alternate days and treating them similarly. This prognostic index was applied to a comparison group of 536 consecutive patients admitted to the other coronary care unit. In the experimental group, 57 of the 477 patients (12%) died during hospital stay; 60 of the 536 patients (11%) died in the comparison group. As individual variables, age, previous history of AMI, anterior site and left ventricular function on admission were associated with increased mortality. Three variables were selected from the stepwise logistic discriminant analysis of the experimental group: age; site (anterior = 1, other = 0); and grade of left ventricular function (0 to 4). Prognostic index = 5.9019 - 0.8961 function - 0.5708 location - 0.0369 age. This index was validated in the comparison group. Patients were allocated into different classes with increasing index values associated with decreasing risk. Three subgroups of patients were identified: high risk of hospital mortality (index less than or equal to 1; mortality: 51%), intermediate risk (index 1 to 3; mortality: 18%) and low risk (index greater than 3; mortality: 4%). The use of this simple prognostic index may improve clinical management and selection of patients for intervention trials. [less ▲]

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See detailLeft Main Coronary Dissection after Mild Chest Trauma. Favorable Evolution with Fibrinolytic and Surgical Therapies
Boland, Jean; Limet, Raymond ULg; Trotteur, Geneviève ULg et al

in CHEST (1988), 93(1), 213-4

A 32-year-old woman had acute anterior myocardial infarction after a mild chest trauma (automobile accident). Unstable angina recurred shortly after admission, and extensive dissection of the left ... [more ▼]

A 32-year-old woman had acute anterior myocardial infarction after a mild chest trauma (automobile accident). Unstable angina recurred shortly after admission, and extensive dissection of the left coronary artery was demonstrated. Medical therapy including systemic fibrinolysis was started but clinical stabilization and good long-term result was achieved only by aortocoronary bypass grafting. [less ▲]

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See detailThrombolysis in anterior myocardial-infarction-effect onregionnal viability studied with positron emission tomography
Delandsheere, C. M.; Raets, D.; Pierard, Luc ULg et al

in Circulation (1987), 76(4), 5

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See detailEarly prognostic index and late exercise test comapred in survivors from acute myocardial infarction
Chapelle, Jean-Paul ULg; Smeets, J. P.; El Allaf, M. et al

Poster (1987, September 05)

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See detailValidation of an early prognostic index by exercise test data in survivors from acute myocardial infarction
Chapelle, Jean-Paul ULg; Smeets, J. P.; El Allaf, M. et al

Conference (1987, June)

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See detailPronostic des infarctus myocardiques de petite taille
Pierard, Luc ULg; Dubois, Christophe ULg; Albert, Adelin ULg et al

Poster (1987, April)

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See detailHemodynamic profile of patients with acute myocardial infarction at risk of infarct expansion.
Pierard, Luc ULg; Albert, Adelin ULg; Gilis, F et al

in American Journal of Cardiology (1987), 60(1), 5-9

To identify patients at risk of cardiac expansion during hospital stay for a first acute myocardial infarction (AMI), 41 patients underwent right-sided cardiac catheterization soon after admission and ... [more ▼]

To identify patients at risk of cardiac expansion during hospital stay for a first acute myocardial infarction (AMI), 41 patients underwent right-sided cardiac catheterization soon after admission and serial 2-dimensional echocardiography on days 1, 3 or 4 and between days 7 and 10. Infarct expansion was recognized by echocardiography in 11 patients (27%), most often on the second recording (day 3 or 4). Age, sex, time from onset of pain to catheterization, peak levels of creatine kinase and creatine kinase-MB isoenzyme, heart rate, mean pulmonary artery wedge pressure and left ventricular stroke work index were similar in the 2 groups. Patients in whom infarct expansion developed had a higher incidence of previous systemic hypertension (73% vs 27%, p less than 0.01) and anterior AMI (91% vs 30%, p less than 0.001) and a higher mortality rate at 1 year (73 vs 7%, p less than 0.001) than those who did not. They also had higher systolic (139 +/- 24 vs 126 +/- 18 mm Hg, p less than 0.05) and diastolic (91 +/- 14 vs 75 +/- 13 mm Hg, p less than 0.001) arterial pressures, lower stroke volume index (31 +/- 10 vs 40 +/- 10 ml/m2, p less than 0.01) and much higher systemic vascular resistance (SVR) values (1,713 +/- 380 vs 1,253 +/- 264 dynes s cm-5, p less than 0.0001). In the subgroups of patients with anterior AMI, differences were significant for diastolic arterial pressure, stroke volume index, SVR and mortality.(ABSTRACT TRUNCATED AT 250 WORDS) [less ▲]

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See detailShort and long-term prognosis of small acute myocardial infarction : a natural history study
Dubois, Christophe ULg; Pierard, Luc ULg; Albert, Adelin ULg et al

in European Heart Journal Supplements : Journal of the European Society of Cardiology (1987), 8(suppl.2), 110

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See detailEarly pronostic index and late exercise test compared in survivors from acute myocardial infarction
Chapelle, Jean-Paul ULg; Smeets, J. P.; El Allaf, M. et al

in European Heart Journal Supplements : Journal of the European Society of Cardiology (1987), 8(suppl.2), 11

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See detailThrombolysis in anterior myocardial infarction: effect on regional viability studied with positon emission tomography
de landsheere, C. M.; Raets, D.; Pierard, Luc ULg et al

in Circulation (1987), 76(suppl.IV), 5

Detailed reference viewed: 13 (1 ULg)