[Prognostic significance of disorders of regional left-ventricular contractility detected in the subacute period of myocardial infarction].

The predictive value of left ventricular contractility index, lesion extent, ejection fraction was examined from sector scanning data in 107 able-bodied males with primary transmural myocardial infarction (MI) complicated by left ventricular aneurysm in the acute period (in 28 patients with anterior MI) and heart failure (in 23 patients with inferior MI). The findings suggest that the severity of regional contractility disorders is associated with the location of myocardial infarction and the state of the coronary bed. The significant lesion extent and multiplicity in the coronary arteries showed a high risk for postinfarction events. On the contrary, the lack of severe regional contractility disorders and isolated coronary lesion were indicative of good prognosis.