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Detection of Left Ventricular Remodeling in Acute ST Elevation Myocardial Infarction after Primary Percutaneous Coronary Intervention by Two Dimensional and Three Dimensional Echocardiography
- Source :
- Journal of Cardiovascular Echography
- Publication Year :
- 2018
- Publisher :
- Medknow, 2018.
-
Abstract
- Background: Left ventricular remodeling (LVR) after ST-elevation myocardial infarction (STEMI) harbingers poor prognosis. Three-dimensional echocardiography (3DE) is more accurate than 2 D echo for the assessment of left ventricle (LV) shape. We assessed LV geometry with 3D ECHO 6 months after STEMI in patients who had primary angioplasty. Materials and Methods: In this prospective study, morphological and functional analysis of LV with 3D ECHO (volumes, LVEF, 3D sphericity index [SI]) was assessed up to 7 days and 6 months in 42 STEMI patients. The LVR was considered for increase >15% of the end diastolic volume of the LV (LVEDV) 6 months after the STEMI, compared to the LVEDV up to 7 days of it. Results: Sixteen (38%) patients had LVR. 3D Echocardiographic measurements up to 7 days after the acute myocardial infarction (AMI) 1-LVEDV in ventricular remodeling group was 99.8 ± 19.1 ml and in no ventricular remodeling group was 87 ± 18.2 mL (P = 0.037); 2-LVEF was 0.48 ± 0.01 and 51 ± 0.02 (P
- Subjects :
- 0301 basic medicine
medicine.medical_specialty
medicine.medical_treatment
030204 cardiovascular system & hematology
three-dimensional sphericity index
03 medical and health sciences
0302 clinical medicine
Internal medicine
three-dimensional echocardiography
medicine
Radiology, Nuclear Medicine and imaging
cardiovascular diseases
Myocardial infarction
Ventricular remodeling
Prospective cohort study
Ejection fraction
business.industry
Left ventricular remodeling
Percutaneous coronary intervention
Three dimensional echocardiography
medicine.disease
030104 developmental biology
medicine.anatomical_structure
Ventricle
Cardiology
End-diastolic volume
Original Article
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 22114122
- Volume :
- 28
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiovascular Echography
- Accession number :
- edsair.doi.dedup.....ca1128f504c07f11398ab349f771a058