Left ventricular function in acute myocardial infarction evaluation by gated scintiphotography.

Ten normal volunteers and 38 patients with acute myocardial infarction were evaluated by biplane gated blood pool scanning. The mean left ventricular end-diastolic volume in those with infarction was 125 + 41 ml/m2 compared to 82 10 ml/m2 in the normals. The left ventricular end-systolic volume was 82 ± 35 ml/m2 compared to 35 4 ml/m2, and the left ventricular ejection fraction 36 + 8% compared to 56 ± 3% in the normals. Thirty-six of the 38 patients with infarction had an area of akinesis which ranged from 15 to 59% of the left ventricular wall. Patients with acute myocardial infarction were found to have a significant increase in left ventricular end-systolic volume and decrease in ejection fraction compared to normals. The end-diastolic volume was, however, increased only in those with an elevated left ventricular filling pressure