Left ventricular remodeling in patients with primary percutaneous coronary intervention for anterior myocardial infarction
Sabry, A., El-Rabat, K., Attia, A., Abd El-Fatah, H. (2020). Left ventricular remodeling in patients with primary percutaneous coronary intervention for anterior myocardial infarction. EKB Journal Management System, 37(3), 731-738. doi: 10.21608/bmfj.2020.112400
Al-Shimaa Sabry; Khaled El-Rabat; Ali Attia; Hager Abd El-Fatah. "Left ventricular remodeling in patients with primary percutaneous coronary intervention for anterior myocardial infarction". EKB Journal Management System, 37, 3, 2020, 731-738. doi: 10.21608/bmfj.2020.112400
Sabry, A., El-Rabat, K., Attia, A., Abd El-Fatah, H. (2020). 'Left ventricular remodeling in patients with primary percutaneous coronary intervention for anterior myocardial infarction', EKB Journal Management System, 37(3), pp. 731-738. doi: 10.21608/bmfj.2020.112400
Sabry, A., El-Rabat, K., Attia, A., Abd El-Fatah, H. Left ventricular remodeling in patients with primary percutaneous coronary intervention for anterior myocardial infarction. EKB Journal Management System, 2020; 37(3): 731-738. doi: 10.21608/bmfj.2020.112400

Left ventricular remodeling in patients with primary percutaneous coronary intervention for anterior myocardial infarction

Benha Medical Journal
Article 22, Volume 37, Issue 3, September 2020, Page 731-738  XML PDF (1003.48 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2020.112400
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Authors
Al-Shimaa Sabry; Khaled El-Rabat; Ali Attia; Hager Abd El-Fatah
Department of cardiology, Benha faculty of medicine, Benha University, Egypt
Abstract
Objectives: Evaluation of the role ofspeckle tracking echocardiography in predicting left ventricular remodeling after anterior ST elevation myocardial infarction (STEMI) and successful primary percutaneous coronary intervention (PCI). Methods: A  total of 100 first anterior STEMI and successful primary PCI were evaluated and divided into two groups according to the occurrence of left ventricular (LV) remodeling; remodeling group (n=26) and non remodeling group (n=74). Conventional and speckle tracking echocardiography were performed within 3 days of admission and 3 months later.Results: Twenty-six (26%) patients had LV remodeling at 3-month follow-up. They had comparable baseline clinical and echocardiographic characteristics with the non remodeling group except for β-blockers use (P =0.043), lower LV global longitudinal (LVGLS) and circumferential (LVGCS) strain (P <0.001).  An adjusted multivariate logistic regression analysis revealed that baseline LVGLS to be the only significant independent predictor for occurrence of LV remodelling (hazard ratio =1.68, 95% CI: 1.35-2.09, p = 0.001). ROC curve analysis showed that a cut-off baseline LVGLS value < -9.0% and LVGCS < -11.1 predicted 3 months LV remodelling.  Conclusion: Early LV global longitudinal and circumferential strain can predict LV remodeling in anterior STEMI.
Keywords
Left ventricular remodelling; myocardial infarction; global longitudinal strain
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