Longitudinal strain in patients with STEMI using speckle tracking echocardiography. Correlation with peak infarction mass and ejection fraction

Ahmed, Ismail; Samy, Wael; Aly, Randa; Fawzy, Samar M.; Hussein, Khaled

doi:10.1016/j.ejccm.2015.10.002

Cited by 6 publications

(4 citation statements)

References 13 publications

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“…Assessment of infarct size by echocardiography after PCI in patients with STEMI was superior with GLS when compared to LVEF. As global strain is an inexpensive test, these data may be of health economic interest …”

Section: Discussionmentioning

confidence: 99%

Predictors of myocardial functional recovery following successful reperfusion of acute ST elevation myocardial infarction

et al. 2018

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The study found pain to reperfusion time, MI territory, ST resolution, basal GLS value are the most important predictors of myocardial functional recovery. Regular follow-up with echocardiography for STEMI patients with different reperfusion strategies has informative impact on long-term clinical outcome. Also the study confirmed that PPCI is better than thrombolysis not only in restoring epicardial coronary flow but also in restoring microvascular and tissue perfusion assuring better myocardial functional recovery and better long-term clinical outcomes.

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Section: Discussionmentioning

confidence: 99%

Predictors of myocardial functional recovery following successful reperfusion of acute ST elevation myocardial infarction

et al. 2018

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“…The GLS test results were expressed in software as GLPSS-Avg which reflected the overall systolic peak of each left ventricular segment. 11 After the GLS valueswere obtained, the samples were grouped into two: GLS≤-13.8% and GLS> -13.8%. 12 The data obtained were analyzed statistically using SPSS 22.0 software.…”

Section: Methodsmentioning

confidence: 99%

Association Between Neutrophil to Lymphocyte Ratio and Left Ventricle Global Longitudinal Strain in Acute Myocardial Infarction

Nursidiq

Purwaningtyas

Wasyanto

2018

Acta Cardiol Indones

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Background: High neutrophil to lymphocyte ratio (NLR) is independently associated with lower EF, in hospital complications, and higher mortality rates in acute myocardial infarction (AMI). Global longitudinal strain (GLS) measurement after AMI demonstrated specific benefit compared with LVEF in evaluation of the extent of post MI left ventricular myocardial injury. The aim of this study was to determine the association between NLR and left ventricular GLS in AMI patients.Methods: An analytic observational study was conducted on August-December 2017 to patients who admited to Dr. Moewardi General Hospital which diagnosed STEMI or NSTEMI. Blood examination and transthoracic echocardiography were performed. They were divided into two groups according to GLS measurement result, GLS>-13.8% and GLS≤-13.8%. The cut-off value of NLR to predict GLS>-13.8%was determined by ROC curve analysis. Bivariate and multivariate analysis to assess whether high NLR was associated with GLS>-13.8% were performed.Results: As many as 57 patients were included in this study, 24 patients (mean age 56,21±9,43) in GLS ≤-13.8% group and 33 patients (mean age 56.67±8.24) in GLS >-13.8%. NLR was significantly higher in GLS>-13.8% group 6.06 (5.36-6.86) compare 4.20 (3.49-5.04),in GLS≤-13.8%, p=0.001. The cut-off value of NLR was 4.69. The bivariate analysis showed that NLR>4.69 associated with GLS>-13.8%, OR 2.70 (CI 95% 1.41-5.17, p=0.001). Multivariate analysis shown that higher NLR have more probability to develop GLS>-13.8%, OR 8.53 (CI 95% 2.38-30.60, p<0.001).Conclusion: There is an association between NLR and left ventricular GLS in AMI patients. AMI patients with high NLR are more likely to have worse GLS.

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“…Myocardial deformation is linked to the longitudinally oriented fibers, located in the sub-endocardium, which are the most susceptible to ischemic changes. It was demonstrated in many studies that GLS detects longitudinal abnormalities in the absence of reduction in LVEF [22][23][24][25]. This is due to the fact that fibers located in the mid-wall, which are circumferentially oriented, may compensate in the case of reduction of the longitudinal mechanics in order to maintain LVEF normal.…”

Section: Gls Versus Lvef In the Prediction Of Remodeling And Hf Of Ami Patientsmentioning

confidence: 99%

“…Several studies evaluated the role of STE in the prediction of LV remodeling after STEMI or NSTEMI [25][26][27][28][29][30][31][32][33][34][35][36], but there was one report exclusively investigating the role of strain in patients with post AMI HFpEF. Hsiao et al showed that remodeling occurred in 28.9% of patients with AMI and preserved LVEF after PCI.…”

Section: Gls Versus Lvef In the Prediction Of Remodeling And Hf Of Ami Patientsmentioning

confidence: 99%

Understanding the role of echocardiography in remodeling after acute myocardial infarction and development of heart failure with preserved ejection fraction

Tomoaia

Beyer²,

Simu

et al. 2019

Med Ultrason

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Despite the use of reperfusion therapies in the last decades, acute myocardial infarction further remains one of the most frequent causes of mortality. This is mainly caused by changes in the ventricular architecture leading to ventricular remodeling, followed by progressive development of heart failure. Transthoracic echocardiography is a non-invasive instrument which can provide information about the extent of the ischemic process and its consequences but can also predict the outcomes after myocardial infarction. Although standard echocardiographic parameters are currently used for risk stratification of these patients, they might not truly reflect left ventricular systolic dysfunction in acute myocardial infarct patients, since the detection of subtle changes in the myocardial function is beyond their limits. The aim of this review is to underline the use of advanced echocardiographic parameters in identifying patients at risk for developing post-acute myocardial infarction heart failure and subsequent adverse events. Advanced echocardiographic parameters derived from speckle tracking echocardiography provide a detailed assessment on the global and regional left ventricular deformation. Therefore, speckle tracking echocardiography has a major role in predicting the prognosis of acute myocardial infarction patients and particularly in the development ofsubsequent heart failure, which might be prevented with early initiation of adequate therapy.

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Longitudinal strain in patients with STEMI using speckle tracking echocardiography. Correlation with peak infarction mass and ejection fraction

Cited by 6 publications

References 13 publications

Predictors of myocardial functional recovery following successful reperfusion of acute ST elevation myocardial infarction

Predictors of myocardial functional recovery following successful reperfusion of acute ST elevation myocardial infarction

Association Between Neutrophil to Lymphocyte Ratio and Left Ventricle Global Longitudinal Strain in Acute Myocardial Infarction

Understanding the role of echocardiography in remodeling after acute myocardial infarction and development of heart failure with preserved ejection fraction

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