Two- Dimensional Speckle –Tracking Echocardiography Assessment of Left Ventricular Remodeling in Patients after Myocardial Infarction and Percutaneous Coronary Intervention
Journal Title: Journal of Cardiovascular Medicine and Surgery - Year 2017, Vol 3, Issue 2
Abstract
Background: Left ventricular remodeling (LVR) is prognostically important consequence of Acute Myocardial Infarction (AMI). However, data regarding the role of STE based parameters for predicting LVR in patients after MI who undergo PCI have been lacking. Aims and Objectives: To evaluate the role of STE in the prediction of LVR in patients after PCI in AMI and the factors associated with LVR after successful PCI. Material and Methods: This is a prospective study conducted in a tertiary care hospital in patients with AMI. Patients were analyzed pre and post intervention PCI) using STE in 100 patients. Results: LVR was found in 39% of AMI patients. Among cases with successful reperfusion within 2 hours from symptom onset none had LVR, 18.75% cases with time to reperfusion 2hrs to one day had LVR, 32.65% of cases with time to reperfusion within 17 days had LVR and 64.52% of cases with time to reperfusion >7 days had LVR. There was a significant improvement in circumferential strain in different LV segments following PCI. LVEF and STE parameters LVGLS, LVGCS (basal and apical), regional LVLSR, regional LVCS at baseline and at one month were predictors of LVR. Conclusions: LVR was common in AMI patients even after successful PCI and was strongly associated with the time to reperfusion. The STE parameters of global longitudinal strain, regional longitudinal strain rate, basal and apical global and regional circumferential strain at baseline and 30 days after the PCI were predictors of LVR at 3 months post PCI.
Authors and Affiliations
Tiwari Bhuwan C
Keywords
Related Articles
- EP ID EP462360
- DOI 10.21088/jcms.2454.7123.3217.2
- Views 109
- Downloads 0
Clinical Study of Radial Versus Femoral Artery Approach for Percutaneous Transluminal Coronary Angioplasty
Introduction: Coronary catheterization is usually performed via the transfemoral approach. Transradial access may offer some advantages in comparison with transfemoral access especially under conditions of aggressive ant...
Assessing Rv Function in Patients with Corpulmonale by Using Newer Echocardiographic Parameters
Aim: In the present study was investigate that the Newer Echocardiographic parameters in assessing right Ventricular and left ventricular function in patients with Cor Pulmonale. Cor Pulmonale is defined as hypertrophy o...
Clipped RCA: Anomalous Origin of RCA during Minimally Invasive ASD Closure
Minimally invasive surgeries have influenced the field of surgeries in a variety of ways specially females and cosmesis. We present a case with a diagnosis of SV-ASD who underwent Right Mini-Thoracotomy ASD closure. Basi...
Left Ventricular Mass Regression in Aortic Valve Replacement for Severe Aortic Stenosis
Aortic stenosis is a common cause of valve replacement, and chronic aortic stenosis increases left ventricular wall tension with subsequent ventricular hypertrophy, dilatation, and failure. The prognosis for such patient...
Case Series of Intra Cardiac Myxomas: A Single Institutional Experience
Background: Cardiac myxomas are the benign tumors occurring in any of the cardiac chambers but most commonly in the left atrium. Recent advances facilitate appropriate diagnosis and successful surgical management. This s...