Two Dimensional Speckle Tracking Echocardiography Assessment of Left Ventricular Remodeling in Patients After Myocardial Infarction

Moustafa Kamal Eldin Ibrahim; Khalied Ahmad Emam El-khashab; Tamer Mosaad Elsaed Ragab

doi:doi:10.11648/j.ccr.20200402.15

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Two Dimensional Speckle Tracking Echocardiography Assessment of Left Ventricular Remodeling in Patients After Myocardial Infarction

Moustafa Kamal Eldin Ibrahim, Khalied Ahmad Emam El-khashab, Tamer Mosaad Elsaed Ragab

Published in Cardiology and Cardiovascular Research (Volume 4, Issue 2)

Received: 26 March 2020 Accepted: 10 April 2020 Published: 30 April 2020

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Abstract

Background: Adverse left ventricular remodelling (LVR), defined as progressive ventricular dilatation, distortion of chamber shape, myocardial hypertrophy, and deteriorating function, which if uninterrupted leads to congestive heart failure (CHF) and a poor clinical outcome, begins in some patients with acute myocardial infarction (AMI) even after successful percutaneous coronary intervention (PCI). Aims: This study aims at evaluating the value of speckle tracking echocardiography in predicting LVR after successful PCI in AMI patients. Materials and Methods: Eighty-four acute myocardial infarction patients. A thorough physical examination, electrocardiography (ECG) and a complete echocardiographic assessment, including speckle tracking study, was performed two days after PCI and then a follow up echocardiography with speckle tracking study was done two months afterwards. Patients were then divided into two groups based on the presence of remodelling (R+, R-). RESULTS: at baseline study global longitudinal strain (GLS) (-11.14±0.5 VS -16.78±0.4, P<0.0001), longitudinal strain rate (LSr) (-1.01±0.05 VS -1.07±0.04, P<0.0001), culprit longitudinal strain (CulLS) (-9.74±0.59 VS -15.68±0.49, P<0.0001), culprit longitudinal strain rate (CulLSr) (-0.95±0.05 VS -1.02±0.04, P<0.0001) were all lower in group R+ than in R-. In the follow up study, all strain parameters studied were significantly lower in the R+ group than R- group. The most sensitive and specific parameters were the GLS and CulLS (sensitivities of 91.7% and 95.8% respectively) and (specificities of 95% and 96.7% respectively). CONCLUSION: Our findings show that impaired indices LV deformation detected two days after successful PCI for AMI may provide predictive value in detecting LV remodelling.

Published in	Cardiology and Cardiovascular Research (Volume 4, Issue 2)
DOI	10.11648/j.ccr.20200402.15
Page(s)	59-66
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Left Ventricular Remodelling, Acute Myocardial Infarction, Speckle Tracking Echocardiography

References

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APA Style

Moustafa Kamal Eldin Ibrahim, Khalied Ahmad Emam El-khashab, Tamer Mosaad Elsaed Ragab. (2020). Two Dimensional Speckle Tracking Echocardiography Assessment of Left Ventricular Remodeling in Patients After Myocardial Infarction. Cardiology and Cardiovascular Research, 4(2), 59-66. https://doi.org/10.11648/j.ccr.20200402.15

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ACS Style

Moustafa Kamal Eldin Ibrahim; Khalied Ahmad Emam El-khashab; Tamer Mosaad Elsaed Ragab. Two Dimensional Speckle Tracking Echocardiography Assessment of Left Ventricular Remodeling in Patients After Myocardial Infarction. Cardiol. Cardiovasc. Res. 2020, 4(2), 59-66. doi: 10.11648/j.ccr.20200402.15

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AMA Style

Moustafa Kamal Eldin Ibrahim, Khalied Ahmad Emam El-khashab, Tamer Mosaad Elsaed Ragab. Two Dimensional Speckle Tracking Echocardiography Assessment of Left Ventricular Remodeling in Patients After Myocardial Infarction. Cardiol Cardiovasc Res. 2020;4(2):59-66. doi: 10.11648/j.ccr.20200402.15

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@article{10.11648/j.ccr.20200402.15,
  author = {Moustafa Kamal Eldin Ibrahim and Khalied Ahmad Emam El-khashab and Tamer Mosaad Elsaed Ragab},
  title = {Two Dimensional Speckle Tracking Echocardiography Assessment of Left Ventricular Remodeling in Patients After Myocardial Infarction},
  journal = {Cardiology and Cardiovascular Research},
  volume = {4},
  number = {2},
  pages = {59-66},
  doi = {10.11648/j.ccr.20200402.15},
  url = {https://doi.org/10.11648/j.ccr.20200402.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20200402.15},
  abstract = {Background: Adverse left ventricular remodelling (LVR), defined as progressive ventricular dilatation, distortion of chamber shape, myocardial hypertrophy, and deteriorating function, which if uninterrupted leads to congestive heart failure (CHF) and a poor clinical outcome, begins in some patients with acute myocardial infarction (AMI) even after successful percutaneous coronary intervention (PCI). Aims: This study aims at evaluating the value of speckle tracking echocardiography in predicting LVR after successful PCI in AMI patients. Materials and Methods: Eighty-four acute myocardial infarction patients. A thorough physical examination, electrocardiography (ECG) and a complete echocardiographic assessment, including speckle tracking study, was performed two days after PCI and then a follow up echocardiography with speckle tracking study was done two months afterwards. Patients were then divided into two groups based on the presence of remodelling (R+, R-). RESULTS: at baseline study global longitudinal strain (GLS) (-11.14±0.5 VS -16.78±0.4, P<0.0001), longitudinal strain rate (LSr) (-1.01±0.05 VS -1.07±0.04, P<0.0001), culprit longitudinal strain (CulLS) (-9.74±0.59 VS -15.68±0.49, P<0.0001), culprit longitudinal strain rate (CulLSr) (-0.95±0.05 VS -1.02±0.04, P<0.0001) were all lower in group R+ than in R-. In the follow up study, all strain parameters studied were significantly lower in the R+ group than R- group. The most sensitive and specific parameters were the GLS and CulLS (sensitivities of 91.7% and 95.8% respectively) and (specificities of 95% and 96.7% respectively). CONCLUSION: Our findings show that impaired indices LV deformation detected two days after successful PCI for AMI may provide predictive value in detecting LV remodelling.},
 year = {2020}
}

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TY  - JOUR
T1  - Two Dimensional Speckle Tracking Echocardiography Assessment of Left Ventricular Remodeling in Patients After Myocardial Infarction
AU  - Moustafa Kamal Eldin Ibrahim
AU  - Khalied Ahmad Emam El-khashab
AU  - Tamer Mosaad Elsaed Ragab
Y1  - 2020/04/30
PY  - 2020
N1  - https://doi.org/10.11648/j.ccr.20200402.15
DO  - 10.11648/j.ccr.20200402.15
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 59
EP  - 66
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20200402.15
AB  - Background: Adverse left ventricular remodelling (LVR), defined as progressive ventricular dilatation, distortion of chamber shape, myocardial hypertrophy, and deteriorating function, which if uninterrupted leads to congestive heart failure (CHF) and a poor clinical outcome, begins in some patients with acute myocardial infarction (AMI) even after successful percutaneous coronary intervention (PCI). Aims: This study aims at evaluating the value of speckle tracking echocardiography in predicting LVR after successful PCI in AMI patients. Materials and Methods: Eighty-four acute myocardial infarction patients. A thorough physical examination, electrocardiography (ECG) and a complete echocardiographic assessment, including speckle tracking study, was performed two days after PCI and then a follow up echocardiography with speckle tracking study was done two months afterwards. Patients were then divided into two groups based on the presence of remodelling (R+, R-). RESULTS: at baseline study global longitudinal strain (GLS) (-11.14±0.5 VS -16.78±0.4, P<0.0001), longitudinal strain rate (LSr) (-1.01±0.05 VS -1.07±0.04, P<0.0001), culprit longitudinal strain (CulLS) (-9.74±0.59 VS -15.68±0.49, P<0.0001), culprit longitudinal strain rate (CulLSr) (-0.95±0.05 VS -1.02±0.04, P<0.0001) were all lower in group R+ than in R-. In the follow up study, all strain parameters studied were significantly lower in the R+ group than R- group. The most sensitive and specific parameters were the GLS and CulLS (sensitivities of 91.7% and 95.8% respectively) and (specificities of 95% and 96.7% respectively). CONCLUSION: Our findings show that impaired indices LV deformation detected two days after successful PCI for AMI may provide predictive value in detecting LV remodelling.
VL  - 4
IS  - 2
ER  -

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Author Information

Moustafa Kamal Eldin Ibrahim

Cardiology Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt
Khalied Ahmad Emam El-khashab

Cardiology Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt
Tamer Mosaad Elsaed Ragab

Cardiology Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt

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APA Style

Moustafa Kamal Eldin Ibrahim, Khalied Ahmad Emam El-khashab, Tamer Mosaad Elsaed Ragab. (2020). Two Dimensional Speckle Tracking Echocardiography Assessment of Left Ventricular Remodeling in Patients After Myocardial Infarction. Cardiology and Cardiovascular Research, 4(2), 59-66. https://doi.org/10.11648/j.ccr.20200402.15

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ACS Style

Moustafa Kamal Eldin Ibrahim; Khalied Ahmad Emam El-khashab; Tamer Mosaad Elsaed Ragab. Two Dimensional Speckle Tracking Echocardiography Assessment of Left Ventricular Remodeling in Patients After Myocardial Infarction. Cardiol. Cardiovasc. Res. 2020, 4(2), 59-66. doi: 10.11648/j.ccr.20200402.15

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AMA Style

Moustafa Kamal Eldin Ibrahim, Khalied Ahmad Emam El-khashab, Tamer Mosaad Elsaed Ragab. Two Dimensional Speckle Tracking Echocardiography Assessment of Left Ventricular Remodeling in Patients After Myocardial Infarction. Cardiol Cardiovasc Res. 2020;4(2):59-66. doi: 10.11648/j.ccr.20200402.15

Copy | Download

@article{10.11648/j.ccr.20200402.15,
  author = {Moustafa Kamal Eldin Ibrahim and Khalied Ahmad Emam El-khashab and Tamer Mosaad Elsaed Ragab},
  title = {Two Dimensional Speckle Tracking Echocardiography Assessment of Left Ventricular Remodeling in Patients After Myocardial Infarction},
  journal = {Cardiology and Cardiovascular Research},
  volume = {4},
  number = {2},
  pages = {59-66},
  doi = {10.11648/j.ccr.20200402.15},
  url = {https://doi.org/10.11648/j.ccr.20200402.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20200402.15},
  abstract = {Background: Adverse left ventricular remodelling (LVR), defined as progressive ventricular dilatation, distortion of chamber shape, myocardial hypertrophy, and deteriorating function, which if uninterrupted leads to congestive heart failure (CHF) and a poor clinical outcome, begins in some patients with acute myocardial infarction (AMI) even after successful percutaneous coronary intervention (PCI). Aims: This study aims at evaluating the value of speckle tracking echocardiography in predicting LVR after successful PCI in AMI patients. Materials and Methods: Eighty-four acute myocardial infarction patients. A thorough physical examination, electrocardiography (ECG) and a complete echocardiographic assessment, including speckle tracking study, was performed two days after PCI and then a follow up echocardiography with speckle tracking study was done two months afterwards. Patients were then divided into two groups based on the presence of remodelling (R+, R-). RESULTS: at baseline study global longitudinal strain (GLS) (-11.14±0.5 VS -16.78±0.4, P<0.0001), longitudinal strain rate (LSr) (-1.01±0.05 VS -1.07±0.04, P<0.0001), culprit longitudinal strain (CulLS) (-9.74±0.59 VS -15.68±0.49, P<0.0001), culprit longitudinal strain rate (CulLSr) (-0.95±0.05 VS -1.02±0.04, P<0.0001) were all lower in group R+ than in R-. In the follow up study, all strain parameters studied were significantly lower in the R+ group than R- group. The most sensitive and specific parameters were the GLS and CulLS (sensitivities of 91.7% and 95.8% respectively) and (specificities of 95% and 96.7% respectively). CONCLUSION: Our findings show that impaired indices LV deformation detected two days after successful PCI for AMI may provide predictive value in detecting LV remodelling.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Two Dimensional Speckle Tracking Echocardiography Assessment of Left Ventricular Remodeling in Patients After Myocardial Infarction
AU  - Moustafa Kamal Eldin Ibrahim
AU  - Khalied Ahmad Emam El-khashab
AU  - Tamer Mosaad Elsaed Ragab
Y1  - 2020/04/30
PY  - 2020
N1  - https://doi.org/10.11648/j.ccr.20200402.15
DO  - 10.11648/j.ccr.20200402.15
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 59
EP  - 66
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20200402.15
AB  - Background: Adverse left ventricular remodelling (LVR), defined as progressive ventricular dilatation, distortion of chamber shape, myocardial hypertrophy, and deteriorating function, which if uninterrupted leads to congestive heart failure (CHF) and a poor clinical outcome, begins in some patients with acute myocardial infarction (AMI) even after successful percutaneous coronary intervention (PCI). Aims: This study aims at evaluating the value of speckle tracking echocardiography in predicting LVR after successful PCI in AMI patients. Materials and Methods: Eighty-four acute myocardial infarction patients. A thorough physical examination, electrocardiography (ECG) and a complete echocardiographic assessment, including speckle tracking study, was performed two days after PCI and then a follow up echocardiography with speckle tracking study was done two months afterwards. Patients were then divided into two groups based on the presence of remodelling (R+, R-). RESULTS: at baseline study global longitudinal strain (GLS) (-11.14±0.5 VS -16.78±0.4, P<0.0001), longitudinal strain rate (LSr) (-1.01±0.05 VS -1.07±0.04, P<0.0001), culprit longitudinal strain (CulLS) (-9.74±0.59 VS -15.68±0.49, P<0.0001), culprit longitudinal strain rate (CulLSr) (-0.95±0.05 VS -1.02±0.04, P<0.0001) were all lower in group R+ than in R-. In the follow up study, all strain parameters studied were significantly lower in the R+ group than R- group. The most sensitive and specific parameters were the GLS and CulLS (sensitivities of 91.7% and 95.8% respectively) and (specificities of 95% and 96.7% respectively). CONCLUSION: Our findings show that impaired indices LV deformation detected two days after successful PCI for AMI may provide predictive value in detecting LV remodelling.
VL  - 4
IS  - 2
ER  -

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