Can parameters From Other Side of the heart predicts post-discharge first-month deaths in AMI? | ||||
| Minia Journal of Medical Research | ||||
| Volume 31, Issue 3, July 2020, Page 104-106 PDF (327.1 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjmr.2022.219924 | ||||
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| Authors | ||||
| Adel H. Mahmoud; Khaled S. Mahmoud El Maghrby; Alaa M. Ibrahiem; Nasser M. Taha; Engy M. Awad | ||||
| Department of Cardiology, El-Minia Faculty of Medicine | ||||
| Abstract | ||||
| Background: to study different right ventricular echocardiographic parameters and find their correlation to death after discharge and up to 1 month after acute STEMI. Methods and Results:134 patients with acute STEMI admitted from 2014 to 2016 were included. History and 12- Lead ECG and clinical examination and Echocardiography was done within 48 hours from admission. End points was death event in the period extending from discharge till end of 30-days post-AMI. Study cohort were divided into group of patients who died in the above period of time and group of patients who survived. Univariate Predictors were the RWMA score (p=0.003), RWMA score index (p=0.004), mitral E/e’ ratio(p=0.019), EF% (p=0.009), and TAPSE (p=0.001). After, multivariate regression analysis only TAPSE (p=0.010) was statistically independent predictor. Conclusion:Reduced Tricuspid valve annular plane systolic excursion in addition to reduced EF can give prognostic indicator for death in period extending from discharge till 30th day post-AMI. | ||||
| Keywords | ||||
| AMI; RV; TAPSE | ||||
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