Volume 4, Issue 4, December 2020, Page: 180-186
Early and Late Assessment of Left Ventricular Function Using Global Longitudinal Strain After Primary Percutaneous Coronary Intervention
Said Shalaby Montaser, Cardiology Department, Menoufia University, Menoufia, Egypt
Mohamed Fahmy Elnoamany, Cardiology Department, Menoufia University, Menoufia, Egypt
Abdelrahman Hassan Elbokary, National Heart Institute, Giza, Egypt
Amr Yosry Emam, Aswan Heart Center, Aswan, Egypt
Received: Sep. 19, 2020;       Accepted: Sep. 30, 2020;       Published: Oct. 13, 2020
DOI: 10.11648/j.ccr.20200404.13      View  14      Downloads  10
Abstract
This prospective cohort study was conducted on fifty patients presented with STEMI and underwent primary PCI to Assess the impact of primary percutaneous coronary intervention (Primary PCI) on the left ventricular (LV) systolic function in patients with Acute STEMI using speckle tracking Echocardiography within the first 24 hrs and within 1 month after performing PCI. All patients were evaluated by history taking, clinical examination, laboratory investigations and coronary angiography assessment with revascularization of the infarct-related artery (IRA). All patients had CCU admission for 3 days. Conventional 2D echocardiography was performed within 24 h of Primary PCI to assess LV Global longitudinal peak systolic strain (GLPSS). All patients had been discharged to home with the guidelines-based medical treatment including (DAPT, Atorvastatin, ACEIs, Beta blockers). GLPSS was re-assessed after 1 month. The patients were divided into two groups: improved and non-improved, according to the improvement of LV systolic function measured by GLPSS. Improvement is defined by increase of GLPSS ≥ 10%. Our study demonstrated Improvement of LV function was based on GLPSS and was observed in 54% of the patients. Peak cardiac troponin T level, Peak creatine phosphokinase levels (CPK), LV diastolic function, and baseline GLPSS were identified as independent predictors of recovery of LV function. The patients who showed improvement of GLPSS were associated with improvement of EF (using simpson method).
Keywords
Acute Myocardial Infarction, Left Ventricular Function, Longitudinal Strain, Speckle Tracking Echocardiography
To cite this article
Said Shalaby Montaser, Mohamed Fahmy Elnoamany, Abdelrahman Hassan Elbokary, Amr Yosry Emam, Early and Late Assessment of Left Ventricular Function Using Global Longitudinal Strain After Primary Percutaneous Coronary Intervention, Cardiology and Cardiovascular Research. Vol. 4, No. 4, 2020, pp. 180-186. doi: 10.11648/j.ccr.20200404.13
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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