Congestive heart failure: Treat the disease, not the symptom—Return to normalcy Gerald D. Buckberg, MD The Journal of Thoracic and Cardiovascular Surgery

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Congestive heart failure: Treat the disease, not the symptom—Return to normalcy Gerald D. Buckberg, MD The Journal of Thoracic and Cardiovascular Surgery Volume 121, Issue 4, Pages 628-637 (April 2001) DOI: 10.1067/mtc.2001.114075 Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 The relative risk for death after myocardial infarction, depicted as the relationship between LVESV and survival. The volume index is approximately 50% of end-systolic volume, or 25 ± 10 mL/m2. (From Colucci WS, editor. Atlas of heart failure: cardiac function and dysfunction. 2nd ed. Philadelphia: Current Medicine, Inc; 1995, 1999; adapted from White et al.7 Reprinted with permission.) The Journal of Thoracic and Cardiovascular Surgery 2001 121, 628-637DOI: (10.1067/mtc.2001.114075) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 2 The relationship between LVESVI and ejection fraction. There is correlation, but great overlap (r 2 = 0.29. These values were described by Di Donato and Dor (Centre Cardiothoracique de Monaco, 2000) in patients undergoing restoration. The Journal of Thoracic and Cardiovascular Surgery 2001 121, 628-637DOI: (10.1067/mtc.2001.114075) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 3 Relationship between preoperative LVESVI (mL/m2) and survival to 10 years. Note increased long-term survival if LVESVI is more than 120 mL/m2. These patients underwent surgical ventricular restoration at Centre Cardiothoracique de Monaco by Dor. The Journal of Thoracic and Cardiovascular Surgery 2001 121, 628-637DOI: (10.1067/mtc.2001.114075) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions