The Predictive Value of Tissue Doppler for Left Ventricular Recovery and Remodeling after Primary Percutaneous Coronary Intervention

Abstract

by acute ST-elevated myocardial infarction and were candidate for PCI. Patients with past history of IHD, patients received thrombolytic therapy, patients with valvular disease, cardiomyopathy, significant left ventricular hypertrophy, pericardial disease, or patients with abnormal ECG as, BBB, pre-excitation, AF, atrial flutter, or complete AV block, or patients underwent coronary artery bypass surgery were excluded from the study. Study design: All patients were subjected to the following: Informed consent from all participants was obtained. Full history taking with especial attention on the risk factors e.g., age, gender, smoking, presence of Diabetes Mellitus, dyslipidaemia, hypertension, family history of IHD, and previous myocardial infarctions. Full clinical examination Electrocardiographic analysis: serial S-T segment analysis before and at the end of the coronary intervention was done by one observer blinded to clinical data. The sum of S-T segment elevations was measured manually 20 milliseconds after the end of the QRS complex. Adequate resolution of S-T segment elevation after successful re

Evaluation of Myocardial Tissue Doppler Echocardiography as a Predictor for Recovery of Left Ventricular Function after Percutaneous Coronary Revascularization for Patients with Coronary Artery Disease

“…Our findings were in agreement with those of Rashid et al (23) , who found that the cutoff value for mean systolic (S) velocity was 4.83 cm/sec or more (as opposed to 4.6 cm/sec in our study) to predict the recovery of global systolic function with 100% sensitivity, 90% specificity, and accuracy of 97.5%, 100%, and 0.986 respectively.…”

Myocardial recovery after percutaneous coronary intervention in coronary artery disease patients with impaired systolic function- predictive utility of global longitudinal strain

“…This finding is dis concordant with other studies. 7 , 24 , 25 This might be explained by relative angle dependency and the frame-rate limitations of TDI, different ACS presentations selected in each study, and variable degrees of LV systolic impairment.…”

Post PCI Systolic Evaluation In Patients With Coronary Artery Disease Using Tissue Doppler Echocardiography

“…Rashid et al, 2014 10 examined fifty patients with STEMI, who underwent primary PCI. Echocardiography with DTI was performed for all patients at baseline and one month after PCI.…”