Prognosis after acute coronary syndrome in relation with ventricular–arterial coupling and left ventricular strain

Milewska, Agata; Mińczykowski, Andrzej; Krauze, Tomasz; Piskorski, Jarosław; Heathers, James; Szczepanik, Adam; Banaszak, Agnieszka; Guzik, Przemysław; Wykretowicz, Andrzej

doi:10.1016/j.ijcard.2016.06.173

Cited by 14 publications

(22 citation statements)

References 22 publications

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“…Yet another aspect of our study is the prognostic significance of AGLS and GLS with respect to the 4-year composite endpoint. According to a recent study by Milewska et al , LV GLS exceeding the threshold of > –12.8% was associated with adverse cardiovascular events, irrespective of LVEF value [37]. According to a recent systematic review concerning the role of speckle tracking in myocardial infarction of different locations, GLS exhibited predictive power regarding both reverse remodeling and MACE [38].…”

Section: Discussionmentioning

confidence: 99%

Left ventricular reverse remodeling in patients with anterior wall ST-segment elevation acute myocardial infarction treated with primary percutaneous coronary intervention

Grabka¹,

Kocierz-Woźnowska²,

Wybraniec³

et al. 2018

pwki

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IntroductionThe study aimed to evaluate the prevalence and predictors of left ventricular (LV) reverse remodeling and its impact on long-term prognosis in patients with anterior ST-segment elevation myocardial infarction (STEMI).AimTo assess the percentage of reverse remodeling and its prognostic factors in anterior STEMI patients.Material and methodsThis observational study included 40 patients with first ever STEMI of the anterior wall. LV reverse remodeling was defined as the reduction of left ventricular end-systolic volume (ΔLVESV) by ≥ 10% in 3D transthoracic echocardiography (3D-TTE) at 3-month follow-up. 3D-TTE and speckle tracking imaging were performed during index hospitalization, while 3D-TTE and cardiac magnetic resonance (CMR) were performed at 3 months following the procedure. Patients were followed up for a median time of 3.4 years in order to evaluate major adverse cardiovascular events.ResultsLeft ventricular reverse remodeling at 3-month follow-up was confirmed in 15 (37.5%) patients. The presence of reverse remodeling was predicted by lower troponin levels (unit OR = 0.86, p = 0.02), lower sum of ST-segment elevations before (unit OR = 0.87, p = 0.03) and after PCI (unit OR = 0.40, p = 0.03), lower maximal ST-segment elevation after PCI (unit OR = 0.01, p = 0.03), lower wall motion score index (unit OR 0.40, p = 0.03) and more negative anterior wall global longitudinal strain (unit OR = 0.88, p = 0.045). Nine MACE were reported in the without reverse remodeling group only. Non-significantly better event-free survival in the reverse remodeling group was demonstrated (log-rank p = 0.07).ConclusionsDevelopment of reverse modeling in patients with optimal revascularization and tailored pharmacotherapy is relatively high. Further studies are warranted in order to adjudicate its prognostic role for the prediction of adverse events.

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Section: Discussionmentioning

confidence: 99%

Left ventricular reverse remodeling in patients with anterior wall ST-segment elevation acute myocardial infarction treated with primary percutaneous coronary intervention

Grabka¹,

Kocierz-Woźnowska²,

Wybraniec³

et al. 2018

pwki

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“…In turn, such a response can negatively impact systolic and diastolic LV function and worsen regional coronary ischemia (32). The clinical importance of E A /E LV was reflected by its ability to predict outcome (all-cause mortality, stroke, and myocardial infarction) in patients with heart failure (33), acute coronary syndrome (38), and myocardial infarction (1). E A /E LV was also shown to correlate with B-type natriuretic peptide levels, which is released from the myocardium in response to myocyte stretch and transmural pressure load in patients with a history of myocardial infarction (1).…”

Section: Arterial-ventricular Coupling and Clinical Relevancementioning

confidence: 99%

Arterial Ventricular Uncoupling With Age and Disease and Recoupling With Exercise

Chantler

2017

Exercise and Sport Sciences Reviews

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The deterioration in arterial and cardiac function with aging impairs arterial ventricular coupling, an important determinant of cardiovascular performance. However, exercise training improves arterial ventricular coupling especially during exercise during the age and disease process. This review examines the concept of arterial-ventricular coupling, and how age, and disease uncouples but exercise training recouples the heart and arterial system.

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“…Study patients were evaluated and described in our previous study . Baseline characteristics are shown in Table .…”

Section: Resultsmentioning

confidence: 99%

“…Antoni et al showed in the cohort of 659 patients with acute myocardial infarction that myocardial strain was superior to EF in the risk stratification for long‐term outcome. Milewska et al observed 569 subjects with myocardial infarction in long‐term follow‐up and determined that GLPSS was an independent predictor of adverse CV events.…”

Section: Discussionmentioning

confidence: 99%

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Pulse wave velocity to the global longitudinal strain ratio in survivors of myocardial infarction

Wykretowicz

Schneider

Krauze

et al. 2019

Eur J Clin Investigation

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Background: New index of pulse wave velocity to global longitudinal peak systolic strain (PWV/GLPSS) was reported to be associated with cardiovascular damage. We evaluated the prognostic role of this metric in survivors of acute myocardial infarction (AMI). Material and methods: We investigated in 569 patients with AMI, whether PWV/ GLPSS was associated with a composite endpoint of death, stroke or new myocardial infarction, in long-term follow-up. Left ventricular longitudinal strain was evaluated by speckle tracking, and carotid arterial stiffness (local PWV) was determined using radiofrequency data technology. Results: During follow-up (median 1316 days), 114 subjects reached composite endpoint. These subjects were significantly older (P < 0.0001) and were characterized by lower ejection fraction (P < 0.0001), lower GLPSS (P < 0.0001), higher PWV (P = 0.007) and lower PWV/GLPSS index (P < 0.0001). Patients with PWV/ GLPSS <−0.74 were at a significantly higher risk for the composite endpoint during the follow-up (hazard rate: 1.7; 95% confidence interval: 1.2-2.6; P < 0.001). The PWV/GLPSS was additive to the predictive value of EF < 35%-patients with PWV/ GLPSS <−0.74 and EF < 35% had the highest risk for the endpoint events.Conclusions: The current study shows that PWV/GLPSS index has significant, independent and additive value in predicting CV complications, in subjects with myocardial infarction. K E Y W O R D Sglobal longitudinal strain, myocardial infarction, pulse wave velocity

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Prognosis after acute coronary syndrome in relation with ventricular–arterial coupling and left ventricular strain

Cited by 14 publications

References 22 publications

Left ventricular reverse remodeling in patients with anterior wall ST-segment elevation acute myocardial infarction treated with primary percutaneous coronary intervention

Left ventricular reverse remodeling in patients with anterior wall ST-segment elevation acute myocardial infarction treated with primary percutaneous coronary intervention

Arterial Ventricular Uncoupling With Age and Disease and Recoupling With Exercise

Pulse wave velocity to the global longitudinal strain ratio in survivors of myocardial infarction

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