Author + information
- Niksa Drinkovic Jr., MD∗ ()
- ↵∗Department of Cardiology, University Hospital Centar Zagreb, Kišpatičeva 12, Zagreb Hr 10000, Croatia
I have read the paper by Dr. Doshi and colleagues (1) with great interest, and I completely agree that a better job can be done in identifying ischemic etiology in new-onset heart failure. While deciding who should undergo an ischemic workup, the observation of a characteristic regional wall motion pattern in dilated cardiomyopathy may be helpful (2). In >40 patients with dilatative cardiomyopathy, I observed inferior (2Ch [2chamber]) and inferolateral (3Ch) akinesia with preserved contractility in the proximal third of the inferolateral wall and in the proximal third of the anterolateral wall (4Ch), together with various degrees of hypocontractility in the remainder of the left ventricle. None of these patients had obstructive coronary artery disease on coronary angiography. I believe that the presence of this simple 2-dimensional echocardiography parameter can help prevent unnecessary ischemic workup in patients with new-onset heart failure who do not have baseline coronary artery disease.
Please note: Dr. Drinkovic has reported that he has no relationships relevant to the contents of this paper to disclose. Deepak Bhatt, MD, MPH, served as Guest Editor-in-Chief for this paper. James B. Young, MD, served as Guest Editor for this paper.
- 2017 American College of Cardiology Foundation
- Doshi D.,
- Ben-Yehuda O.,
- Bonafede M.,
- et al.
- Drinkovic N.