CHRONIC MYOCARDIAL-DISEASE .2. HEMODYNAMIC FINDINGS RELATED TO LONG-TERM PROGNOSIS

Abstract

Hemodynamic findings in 106 patients with chronic myocardial disease were related to the course of the disease during a follow-up period of 2-12 yr. A high filling pressure, especially when combined with low cardiac output, suggested a severe development. The worst outlook was noted in patients who in addition had raised pulmonary arteriolar resistance. On the other hand, a low filling pressure even if cardiac output was reduced, was generally associated with a more benign course. An increase in left ventricular wall thickness as determined angiographically suggested a better outlook than normal wall thickness.