Non Invasive Assessment of Left Ventricular Filling Pressure and Remodeling after Acute Myocardial Infarction

Barberato, Sílvio Henrique; Souza, Angela Maria de; Costantini, Costantino O.; Costantini, Costantino

doi:10.5935/abc.20130092

Cited by 5 publications

(7 citation statements)

References 23 publications

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“…And this was concordant with Barberato and his colleagues study in 2013 in which lateral e’ in the LV remodeling group was (6.9 ± 2 versus 8.5 ± 2 cm/s, P = 0.02) and E/e’ ratio in the LV remodeling group was (13 ± 4 versus 8.5 ± 2, P < 0.001) but only E/e’ ratio was an independent predictor of LV remodeling 29 …”

Section: Discussionsupporting

confidence: 88%

“…And this was concordant with Bolognese et al 23 , Zaliaduonyte-Peksiene et al 28 , Barberato et al 29 that showed a tendency towards longer time to reperfusion which is associated with LV remodeling, but without statistical significance.…”

Section: Discussionsupporting

confidence: 87%

“…In the current study there was a significantly higher Killip class in the LV remodeling group. Barberato and his colleagues study in 2013 29 found a non statistically significant difference between both groups with a trend towards higher Killip class in the LV remodeling group.…”

Section: Discussionmentioning

confidence: 90%

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Speckle tracking imaging as a predictor of left ventricular remodeling 6 months after first anterior ST elevation myocardial infarction in patients managed by primary percutaneous coronary intervention

Bastawy

Ismaïl

Hanna

et al. 2018

The Egyptian Heart Journal

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Acute myocardial infarction (AMI) remains a leading cause of morbidity and mortality worldwide. LV remodeling is an important factor in the pathophysiology of advancing heart failure (HF).Aim of the workTo evaluate the value of speckle tracking imaging as a predictor of left ventricular remodeling 6 months after first anterior STEMI in patients managed by primary PCI.MethodologyEighty-five patients with first acute anterior STEMI underwent primary PCI. Patients were followed up for 6 months. Echocardiographywas done within 48 h [1] Standard transthoracic 2D echocardiographic examination: LV internal dimensions and volumes, Left Ventricular EF, and Wall Motion Score Index: [2] LV peak systolic global longitudinal strain and Torsion dynamics were assessed. Echocardiography was repeated at 6 months LV volumes and EF were calculated. LV remodeling was defined as an increase in LV EDV ≥ 20% 6 months after infarction as compared to baseline data. Patients were then classified into Group I: did not develop LV remodeling. Group II: developed LV remodeling. Both groups were studied to determine predictors of LV remodeling.ResultsAt baseline echocardiographic evaluation there was no statistically significant difference between both groups regarding both LVEDD and LVEDV, while there was statistically significant increase in both LV ESD and LV ESV, with statistically significant lower Ejection Fraction, in LV remodeling group. There was also statistically significant higher LV peak systolic GLS values in LV remodeling group, the best cut-off value was >−12.5 (Sensitivity 87%, Specificity 85%) and LV torsion was also statistically significantly lower in the LV remodeling group, with the best cut-off value for LV torsion was <9.5°, [Sensitivity 91%, Specificity 85%].Independent predictors of LV remodeling after AMI: baseline WMSI > 1.8, baseline LV EF < 40, GLS > −12.5%, LV torsion < 9.5°, CK-MB > 500 U/L, baseline Thrombus grade > 4 and total ischemic time.ConclusionAverage peak systolic GLS and LV torsion at echocardiography done early after myocardial infarction are independent predictors of LV remodeling after anterior STEMI and can be used to predict occurrence of LV remodeling after 6 months.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 87%

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Speckle tracking imaging as a predictor of left ventricular remodeling 6 months after first anterior ST elevation myocardial infarction in patients managed by primary percutaneous coronary intervention

Bastawy

Ismaïl

Hanna

et al. 2018

The Egyptian Heart Journal

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“…For instance, Chen et al found diastolic dysfunction even after early reperfusion ( 12 ). Barberato et al also defined the E/E’ ratio as a predictor of LV remodeling following AMI ( 25 ). Shacham et al observed that E/E’ ratio >15 in the acute phase was related to ventricular remodeling ( 19 ).…”

Section: Discussionmentioning

confidence: 99%

Clinical and echocardiographic predictors of left ventricular remodeling following anterior acute myocardial infarction

Silveira¹,

Malagutte²,

Nogueira³

et al. 2021

Clinics

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OBJECTIVES: Coronary artery disease is the primary cause of death and is responsible for a high number of hospitalizations worldwide. Ventricular remodeling is associated with worse prognosis following ST-segment elevation myocardial infarction (STEMI) and is a risk factor for ventricular dysfunction and heart failure. This study aimed to identify the predictors of ventricular remodeling following STEMI. Additionally, we evaluated the clinical, laboratory, and echocardiographic characteristics of patients with anterior wall STEMI who underwent primary percutaneous intervention in the acute phase and at 6 months after the infarction. METHODS: This prospective, observational, and longitudinal study included 50 patients with anterior wall STEMI who were admitted to the coronary care unit (CCU) of a tertiary hospital in Brazil between July 2017 and August 2018. During the CCU stay, patients were evaluated daily and underwent echocardiogram within the first three days following STEMI. After six months, the patients underwent clinical evaluation and echocardiogram according to the local protocol. RESULTS: Differences were noted between those who developed ventricular remodeling and those who did not in the mean±standard deviation levels of creatine phosphokinase MB isoenzyme (CKMB) peak (no remodeling group: 323.7±228.2 U/L; remodeling group: 522.4±201.6 U/L; p =0.008) and the median and interquartile range of E/E’ ratio (no remodeling group: 9.20 [8.50-11.25] and remodeling group: 12.60 [10.74-14.40]; p =0.004). This difference was also observed in multivariate logistic regression. CONCLUSIONS: Diastolic dysfunction and CKMB peak in the acute phase of STEMI can be predictors of ventricular remodeling following STEMI.

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“…According to this study, the E / E ′ ratio can predict LV remodeling associated with LV dilatation [ 15 ]. Currently, the E / E ′ ratio is one of the most commonly used echocardiographic parameters in clinical practice [ 16 ]. Mitral annular velocities reflect the long axis motion of the ventricle, which is an important component of LV systolic and diastolic function.…”

Section: Discussionmentioning

confidence: 99%

Assessment of the Utility of the SeptalE/(E′×S′)Ratio and Tissue Doppler Index in Predicting Left Ventricular Remodeling a

Tiryakioğlu

Özkan

Arı

et al. 2016

BioMed Research International

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Background. The aim of this study is to show whether the septal E/(E′ × S′) ratio assessed by tissue Doppler echocardiography can predict left ventricular remodeling after first ST segment elevation myocardial infarction treated successfully with primary percutaneous intervention. Methods. Consecutive patients (n = 111) presenting with acute anterior myocardial infarction for the first time in their life were enrolled. All patients underwent successful primary percutaneous coronary intervention. Standard and tissue Doppler echocardiography were performed in the first 24-36 hours of admission. Echocardiographic examination was repeated after 6 months to reassess left ventricular volumes. Septal E/(E′ × S′) ratio was assessed by pulsed Doppler echocardiography. Results. Group 1 consisted of 33 patients with left ventricular (LV) remodeling, and Group 2 had 78 patients without LV remodeling. E/(E′ × S′) was significantly higher in Group 1 (4.1 ± 1.9 versus 1.65 ± 1.32, p = 0.001). The optimal cutoff value for E/(E′ × S′) ratio was 2.34 with 87.0% sensitivity and 82.1% specificity. Conclusion. Septal E/(E′ × S′) values measured after the acute anterior myocardial infarction can strongly predict LV remodeling in the 6-month follow-up. In the risk assessment, the septal E/(E′ × S′) can be evaluated together with the conventional echocardiographic techniques.

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Non Invasive Assessment of Left Ventricular Filling Pressure and Remodeling after Acute Myocardial Infarction

Abstract: The E/e' ratio is a useful predictor of LV remodeling after AMI, indicating patients with increased cardiovascular risk.

Cited by 5 publications

References 23 publications

Speckle tracking imaging as a predictor of left ventricular remodeling 6 months after first anterior ST elevation myocardial infarction in patients managed by primary percutaneous coronary intervention

Speckle tracking imaging as a predictor of left ventricular remodeling 6 months after first anterior ST elevation myocardial infarction in patients managed by primary percutaneous coronary intervention

Clinical and echocardiographic predictors of left ventricular remodeling following anterior acute myocardial infarction

Assessment of the Utility of the SeptalE/(E′×S′)Ratio and Tissue Doppler Index in Predicting Left Ventricular Remodeling a

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