# Voorspelling van persisterende LV-disfunctie na myocardinfarct: de PREDICTS-studie

*geplaatst 2016-03-15 · Algemeen · Journal of the American College of Cardiology · doi 10.1016/j.jacc.2015.12.042 · https://hartvaat.nl/2016/03/15/voorspelling-van-persisterende-lv-disfunctie-na-myocardinfarct-de-predicts-studi/*

Studie die voorspellers identificeerde van persisterende ernstige LV-systolische disfunctie na myocardinfarct — een klasse I indicatie voor ICD-implantatie. Klinisch relevant voor optimale timing van devicetherapie.

## English: Predicting Persistent Left Ventricular Dysfunction Following Myocardial Infarction: The PREDICTS Study.

The PREDICTS study identified clinical and imaging predictors of persistent severe LV dysfunction after myocardial infarction, informing the timing and selection of patients for ICD implantation based on early post-MI assessment.

## Abstract (original, from the publication)

BACKGROUND: Persistent severe left ventricular (LV) systolic dysfunction after myocardial infarction (MI) is associated with increased mortality and is a class I indication for implantation of a cardioverter-defibrillator. OBJECTIVES: This study developed models and assessed independent predictors of LV recovery to >35% and ≥50% after 90-day follow-up in patients presenting with acute MI and severe LV dysfunction. METHODS: Our multicenter prospective observational study enrolled participants with ejection fraction (EF) of ≤35% at the time of MI (n = 231). Predictors for EF recovery to >35% and ≥50% were identified after multivariate modeling and validated in a separate cohort (n = 236). RESULTS: In the PREDICTS (PREDiction of ICd Treatment Study) study, 43% of patients had persistent EF ≤35%, 31% had an EF of 36% to 49%, and 26% had an EF ≥50%. The model that best predicted recovery of EF to >35% included EF at presentation, length of stay, prior MI, lateral wall motion abnormality at presentation, and peak troponin. The model that best predicted recovery of EF to ≥50% included EF at presentation, peak troponin, prior MI, and presentation with ventricular fibrillation or cardiac arrest. After predictors were transformed into point scores, the lowest point scores predicted a 9% and 4% probability of EF recovery to >35% and ≥50%, respectively, whereas profiles with the highest point scores predicted an 87% and 49% probability of EF recovery to >35% and ≥50%, respectively. CONCLUSIONS: In patients with severe systolic dysfunction following acute MI with an EF ≤35%, 57% had EF recovery to >35%. A model using clinical variables present at the time of MI can help predict EF recovery.

Auteurs: Gabriel C Brooks, Byron K Lee, Rajni Rao, Feng Lin, Daniel P Morin, Steven L Zweibel, Alfred E Buxton, Mark J Pletcher, Eric Vittinghoff, Jeffrey E Olgin

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Bron: Journal of the American College of Cardiology, https://doi.org/10.1016/j.jacc.2015.12.042. Bijgewerkt 2026-07-03T13:25:21Z. Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.