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Assessment of tissue viability for improvement of the left ventricular function after revascularization

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Author(s): Matunović Radomir | Stojanović Aleksandar | Mijailović Zdravko | Gligić Branko | Ristić-Angelkov Anđelka

Journal: Medicinski Pregled
ISSN 0025-8105

Volume: 59;
Issue: 3-4;
Start page: 169;
Date: 2006;
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Keywords: myocardial infarction | myocardial revascularization | ventricular dysfunction | left | stroke volume

ABSTRACT
Introduction. Treatment of patients with heart failure following myocardial infarction is still a clinical challenge. Drug therapy in these patients is limited, and invasive revascularization is not always successful and does not guarantee desired results. The aim of this study was to compare the effectiveness of invasive revascularization procedures (coronary artery bypass grafting - CABG or percutaneous transluminal coronary angioplasty - PICA) with conventional drug therapy in patients with heart failure after acute myocardial infarction in whom significant portion of viable myocardial tissue was detected during low dose dobutamine stress echocardiography. Material and methods. Using a prospective analysis, we investigated 66 patients with heart failure following myocardial infarction and reduced left ventricular ejection fraction (LVEF

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