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187171

ST-Segment Resolution and Global Longitudinal Strain as Predictors of LV Remodeling in Patients with ST-Segment Elevation Myocardial Infarction (STEMI)

Article

Last updated: 28 Dec 2024

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Abstract

left ventricular (LV) remodeling after acute myocardial infarction (AMI) is a feared prognostic sequence. Objectives: our goal was to study the possibility of using speckle tracking imaging (STI), especially, global longitudinal strain in predicting LV remodeling. Methods: A total of 82 AMI patients were included in this study. During the first hospital admission after first AMI and at a 6-month follow-up, two-dimensional echocardiography was done. The data was analyzed offline. LV remodeling was defined as ≥15% increase from the baseline LV end-diastolic volume. Results: 34.1% with LV remodeling at 6-month follow-up had similar baseline clinical and echocardiographic characteristics to those without remodeling, except for a predominance of the anterior wall MI (P<0.01), decreased ejection fraction (P<0.05), increased end-systolic volume (P<0.05), and decreased global systolic Ls (P<0.05). Multivariable logistic regression analysis proved that systolic Ls is an independent predictor of remodeling after AMI. Conclusions. Our work has shown that LV longitudinal strain measured by STI is an efficient predictor of LV remodeling after AMI.

DOI

10.21608/bjas.2019.187171

Keywords

myocardial infarction, Left ventricular remodeling, Left Ventricular Function, Strain

Authors

First Name

A.S.

Last Name

Mohamed

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Affiliation

Cardiology Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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Orcid

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First Name

W.M.

Last Name

Tawfik

MiddleName

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Affiliation

Cardiology Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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Orcid

-

First Name

A.M.

Last Name

Abd El Aziz

MiddleName

-

Affiliation

Cardiology Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

-

First Name

M.M.

Last Name

Ali

MiddleName

-

Affiliation

Cardiology Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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-

Orcid

-

Volume

4

Article Issue

2

Related Issue

23363

Issue Date

2019-03-01

Receive Date

2019-08-03

Publish Date

2019-03-01

Page Start

61

Page End

66

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_187171.html

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https://bjas.journals.ekb.eg/service?article_code=187171

Order

10

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

ST-Segment Resolution and Global Longitudinal Strain as Predictors of LV Remodeling in Patients with ST-Segment Elevation Myocardial Infarction (STEMI)

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Article

Created At

23 Jan 2023