Volume 4, Issue 2, June 2020, Page: 59-66
Two Dimensional Speckle Tracking Echocardiography Assessment of Left Ventricular Remodeling in Patients After Myocardial Infarction
Moustafa Kamal Eldin Ibrahim, Cardiology Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt
Khalied Ahmad Emam El-khashab, Cardiology Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt
Tamer Mosaad Elsaed Ragab, Cardiology Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt
Received: Mar. 26, 2020;       Accepted: Apr. 10, 2020;       Published: Apr. 30, 2020
DOI: 10.11648/j.ccr.20200402.15      View  264      Downloads  87
Abstract
Background: Adverse left ventricular remodelling (LVR), defined as progressive ventricular dilatation, distortion of chamber shape, myocardial hypertrophy, and deteriorating function, which if uninterrupted leads to congestive heart failure (CHF) and a poor clinical outcome, begins in some patients with acute myocardial infarction (AMI) even after successful percutaneous coronary intervention (PCI). Aims: This study aims at evaluating the value of speckle tracking echocardiography in predicting LVR after successful PCI in AMI patients. Materials and Methods: Eighty-four acute myocardial infarction patients. A thorough physical examination, electrocardiography (ECG) and a complete echocardiographic assessment, including speckle tracking study, was performed two days after PCI and then a follow up echocardiography with speckle tracking study was done two months afterwards. Patients were then divided into two groups based on the presence of remodelling (R+, R-). RESULTS: at baseline study global longitudinal strain (GLS) (-11.14±0.5 VS -16.78±0.4, P<0.0001), longitudinal strain rate (LSr) (-1.01±0.05 VS -1.07±0.04, P<0.0001), culprit longitudinal strain (CulLS) (-9.74±0.59 VS -15.68±0.49, P<0.0001), culprit longitudinal strain rate (CulLSr) (-0.95±0.05 VS -1.02±0.04, P<0.0001) were all lower in group R+ than in R-. In the follow up study, all strain parameters studied were significantly lower in the R+ group than R- group. The most sensitive and specific parameters were the GLS and CulLS (sensitivities of 91.7% and 95.8% respectively) and (specificities of 95% and 96.7% respectively). CONCLUSION: Our findings show that impaired indices LV deformation detected two days after successful PCI for AMI may provide predictive value in detecting LV remodelling.
Keywords
Left Ventricular Remodelling, Acute Myocardial Infarction, Speckle Tracking Echocardiography
To cite this article
Moustafa Kamal Eldin Ibrahim, Khalied Ahmad Emam El-khashab, Tamer Mosaad Elsaed Ragab, Two Dimensional Speckle Tracking Echocardiography Assessment of Left Ventricular Remodeling in Patients After Myocardial Infarction, Cardiology and Cardiovascular Research. Vol. 4, No. 2, 2020, pp. 59-66. doi: 10.11648/j.ccr.20200402.15
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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