Two‐Dimensional Speckle Tracking Echocardiography Prognostic Parameters in Patients after Acute Myocardial Infarction

Haberka, Maciej; Liszka, Jerzy; Kozyra, Andrzej; Finik, Maciej; Gąsior, Zbigniew

doi:10.1111/echo.12666

Cited by 10 publications

(18 citation statements)

References 29 publications

(48 reference statements)

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“…There were 11 studies assessing adverse remodeling [14–24], 11 assessing reverse remodeling [25–35] and 1 assessing both outcomes [36]. All patients reported in these studies had a successfully revascularized first STEMI (as defined by TIMI flow>2) except for 2 studies in which both STEMI and NTEMI patients were included [19,36]; only 2 studies included medical revascularization with thrombolysis. Most studies included a mixed STEMI population, with both anterior and inferior localizations; only 5 studies [15, 20, 26, 28, 32] included patients with anterior STEMI.…”

Section: Resultsmentioning

confidence: 99%

Prediction of Left Ventricular Remodeling after a Myocardial Infarction: Role of Myocardial Deformation: A Systematic Review and Meta-Analysis

Huttin

Coiro²,

Selton‐Suty

et al. 2016

PLoS ONE

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AimsLeft ventricular (LV) adverse or reverse remodeling after ST-segment elevation myocardial infarction (MI) is the best outcome to assess the benefit of revascularization. Speckle tracking echocardiography (STE) may accurately identify early deformation impairment, while also being predictive of LV remodeling during follow-up. This systematic analysis aimed to provide a comprehensive review of current findings on STE as a predictor of LV remodeling after MI.MethodsPubMed databases were searched through December 2014 to identify studies in adults targeting the association between LV remodeling and STE. Meta-regression was performed for longitudinal analysis.ResultsA total of 23 prospective studies (3066 patients) were found eligible. Eleven studies reported an association between STE and adverse remodeling and twelve studies with reverse remodeling. Using peak systolic longitudinal strain, the most accurate cut-off to predict adverse remodeling and reverse remodeling ranged from -12.8% to -10.2% and from -13.7% to -9.5%, respectively. In smaller studies, assessment of circumferential strain and torsion showed additive value in predicting remodeling. Meta-regression analysis revealed that longitudinal STE was associated with adverse remodeling (pooled univariable OR = 1.27, 1.17–1.38, p<0.001; pooled multivariable OR = 1.38, 1.13–1.70, p = 0.002) while pooled ORs of longitudinal STE only tended to predict reverse remodeling (pooled OR = 0.75, 0.54–1.06, p = 0.09).ConclusionsThis systematic review suggests that STE is associated with changes in LV volume or function regardless of underlying mechanisms and deformation direction. Meta-regression demonstrates a strong association between peak longitudinal systolic strain and adverse remodeling. Added STE predictive value over other clinical, biological and imaging variables remains to be proven.

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Section: Resultsmentioning

confidence: 99%

Prediction of Left Ventricular Remodeling after a Myocardial Infarction: Role of Myocardial Deformation: A Systematic Review and Meta-Analysis

Huttin

Coiro²,

Selton‐Suty

et al. 2016

PLoS ONE

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“…The subsequent recoil of twist deformation is associated with the release of restoring forces, which contribute to LV diastolic relaxation and early diastolic filling. 17 Several studies have described the clinical relevance of LV twist, [8][9][10] which is predominantly governed by apical rotation. 22 Diastolic untwisting of the LV also plays an important role in diastolic suction.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4] The effects of CSF, and subsequent inadequate blood supply, on myocardial functions are not known. [8][9][10][11][12] STE enables a noninvasive examination of dynamic LV parameters, such as strain, twist/torsion, and rotation. [5][6][7] However, the effect of CSF on left ventricular twist functions has not been assessed.…”

mentioning

confidence: 99%

Left Ventricular Twist Mechanics Are Impaired in Patients with Coronary Slow Flow

et al. 2015

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“…Several studies have determined that 2D speckle-tracking derived LV strain parameters provides valuable prediction of subsequent cardiac events and outcome in patients with AMI who have been treated by primary PCI [25,26]. However, data about the early prognostic value of LV strain parameter is lacking.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have demonstrated the long-term prognostic relevance of strain echocardiography after AMI [21][22][23][24][25][26][27][28][29]. However, the short-term prognostic value of strain echocardiography in patients with STEMI has not been well evaluated.…”

Section: Introductionmentioning

confidence: 99%

Short-Term Prognostic Value of Strain Echocardiography in Patients with STEMI

Khuyag¹,

Chimed²,

Baldandorj³

et al. 2017

Cent. Asian j. Med. Sci.

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Objectives: Left ventricular (LV) systolic function is major predictor of outcome after acute myocardial infarction (AMI). In recent years, speckle-tracking echocardiography (STE) derived strain measurement has been demonstrated to directly reflect myocardial deformation patterns and to be superior to conventional echocardiographic measurements. Our study aimed to reveal the prognostic value of strain parameters for 30-day mortality in patients with ST elevation myocardial infarction (STEMI) after primary percutaneous coronary intervention (PCI). Methods: We prospectively included patients with STEMI after primary PCI treatment. The primary endpoint was 30-day mortality. 2D STE was used to determine LV strain parameters. Results: 414 patients were selected. 30-day mortality occurred in 15 patients (3.6%). LV global longitudinal strain (GLS) was significantly impaired in the 30-day mortality group compared with survivors (-8.0±2.6% vs. -15.4±3.8%, p<0.001). Multivariate regression revealed that LV GLS was independently associated with 30-day mortality (OR 1.71, 95% CI 1.23-2.38, p<0.001). Adding GLS into the clinical and echocardiographic model improved model performance. Conclusion:The LV GLS parameter is an independent predictor of 30-day mortality in patients with STEMI after primary PCI treatment. Adding LV GLS into the prediction model improved its predictive performance.

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Two‐Dimensional Speckle Tracking Echocardiography Prognostic Parameters in Patients after Acute Myocardial Infarction

Abstract: The assessment of LV function with STE may improve cardiovascular risk prediction in postmyocardial infarction patients.

Cited by 10 publications

References 29 publications

Prediction of Left Ventricular Remodeling after a Myocardial Infarction: Role of Myocardial Deformation: A Systematic Review and Meta-Analysis

Prediction of Left Ventricular Remodeling after a Myocardial Infarction: Role of Myocardial Deformation: A Systematic Review and Meta-Analysis

Left Ventricular Twist Mechanics Are Impaired in Patients with Coronary Slow Flow

Short-Term Prognostic Value of Strain Echocardiography in Patients with STEMI

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