1. Association of type-D personality and left-ventricular remodelling in patients treated with primary percutaneous intervention after ST-segment elevation myocardial infarction
- Author
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Zia-ul-Sabah, Saif Aboud M. Alqahtani, Bandar Hezam Alghamdi, Javed Iqbal Wani, Shahid Aziz, Humayoun Khan Durrani, Ayyub Ali Patel, Imran Rangraze, and Saleem Javaid Wani
- Subjects
Left-ventricular remodelling ,Type-D personality ,Global longitudinal strain ,Coronary artery disease ,Killip Class ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Abstract Background Type-D personality is an established predisposing factor for various diseases. Type-D traits have been shown to pose a 26% increased risk of coronary artery disease after controlling for other confounding factors. Significant associations have been reported between type-D personality traits and dyslipidaemia, impaired endothelial function, coronary heart disease (CAD), acute myocardial infarction, and other adverse cardiovascular events. Objective To assess the association between type-D personality and left-ventricular adverse remodelling in patients treated with percutaneous coronary intervention following index ST-segment elevation myocardial infarction. Methods All patients hospitalized and treated with percutaneous coronary intervention (PCI) after their index ST-segment elevation myocardial infarction (STEMI) between 1 January 2022 to 31 December 2023 were prospectively enrolled. Type-D personality traits in the study population were determined at baseline using type-D Scale-14 (DS14) instrument, whereas any positive change in left ventricular end diastolic volume (LVEDV) ≥ 20% at follow up period of 12-months from baseline was defined as left-ventricular adverse remodelling (LVAR). Univariate and multivariate analysis was done to establish the independent predictors of LVAR. The area under receiver-operating characteristic curve (AUROC) was employed to assess the sensitivity and specificity of the identified independent predictors. Results A total of 124 patients were enrolled in the study. The mean age of the study population was 67 ± 10 years and the overall incidence of LVAR was found to be 25%. Multivariate regression analysis revealed that type-D personality is a significant independent predictor of LVAR $$\:(OR:2.51;95\%CI:1.16-5.77;p=0.03)$$ apart from the already established independent predictors Killip Class $$\:\:(OR:7.30;95\%CI:3.03-17.55;p
- Published
- 2024
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