Early and Late Assessment of Left Ventricular Function Using Global Longitudinal Strain After Primary Percutaneous Coronary Intervention

Said Shalaby Montaser; Mohamed Fahmy Elnoamany; Abdelrahman Hassan Elbokary; Amr Yosry Emam

doi:doi:10.11648/j.ccr.20200404.13

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Early and Late Assessment of Left Ventricular Function Using Global Longitudinal Strain After Primary Percutaneous Coronary Intervention

Said Shalaby Montaser, Mohamed Fahmy Elnoamany, Abdelrahman Hassan Elbokary, Amr Yosry Emam

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

Received: 19 September 2020 Accepted: 30 September 2020 Published: 13 October 2020

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Abstract

This prospective cohort study was conducted on fifty patients presented with STEMI and underwent primary PCI to Assess the impact of primary percutaneous coronary intervention (Primary PCI) on the left ventricular (LV) systolic function in patients with Acute STEMI using speckle tracking Echocardiography within the first 24 hrs and within 1 month after performing PCI. All patients were evaluated by history taking, clinical examination, laboratory investigations and coronary angiography assessment with revascularization of the infarct-related artery (IRA). All patients had CCU admission for 3 days. Conventional 2D echocardiography was performed within 24 h of Primary PCI to assess LV Global longitudinal peak systolic strain (GLPSS). All patients had been discharged to home with the guidelines-based medical treatment including (DAPT, Atorvastatin, ACEIs, Beta blockers). GLPSS was re-assessed after 1 month. The patients were divided into two groups: improved and non-improved, according to the improvement of LV systolic function measured by GLPSS. Improvement is defined by increase of GLPSS ≥ 10%. Our study demonstrated Improvement of LV function was based on GLPSS and was observed in 54% of the patients. Peak cardiac troponin T level, Peak creatine phosphokinase levels (CPK), LV diastolic function, and baseline GLPSS were identified as independent predictors of recovery of LV function. The patients who showed improvement of GLPSS were associated with improvement of EF (using simpson method).

Published in	Cardiology and Cardiovascular Research (Volume 4, Issue 4)
DOI	10.11648/j.ccr.20200404.13
Page(s)	180-186
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

Acute Myocardial Infarction, Left Ventricular Function, Longitudinal Strain, Speckle Tracking Echocardiography

References

[1]	Oana Mirea, Jurgen Duchenne, Jens-Uwe Voigt. Recent advances in echocardiography: strain and strain rate imaging. F1000Res. 2016; 5: F1000 Faculty Rev-787.
[2]	Lang RM, Badano LP, Mor-Avi V, et al.: Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2015; 16 (3): 233–70. 10.1093/ehjci/jev014.
[3]	Delgado V, Mollema SA, Ypenburg C, Tops LF, van der Wall EE, Schalij MJ, Bax JJ. Relation between global left ventricular longitudinal strain assessed with novel automated function imaging and biplane left ventricular ejection fraction in patients with coronary artery disease. J Am Soc Echocardiogr 2008; 21: 1244–1250.
[4]	Adam K. McDiarmid1, Pierpaolo Pellicori2, John G. Cleland2, and Sven Plein. European Heart Journal (2017) 38, 942–954. doi: 10.1093/eurheartj/ehw140.
[5]	M. Louisa Antoni, Sjoerd A. Mollema1, Jael Z. Atary, C. Jan Willem Borleffs, Eric Boersma, Nico R. L. van de Veire, Eduard R. Holman, Ernst E. van der Wall, Martin J. Schalij, and Jeroen J. Bax. Time course of global left ventricular strain after acute myocardial infarction. European Heart Journal (2010) 31, 2006–2013 doi: 10.1093/eurheartj/ehq198.
[6]	Solomon SD, Glynn RJ, Greaves S, Ajani U, Rouleau JL, Menapace F, Arnold JM, Hennekens C, Pfeffer MA. Recovery of ventricular function after myocardial infarction in the reperfusion era: the healing and early afterload reducing therapy study. Ann Intern Med 2001; 134: 451–458.
[7]	Parodi G, Memisha G, Carrabba N, Signorini U, Migliorini A, Cerisano G, Antoniucci D. Prevalence, predictors, time course, and long-term clinical implications of left ventricular functional recovery after mechanical reperfusion for acute myocardial infarction. Am J Cardiol 2007; 100: 1718–1722.19.
[8]	Mollema SA, Delgado V, Bertini M, et al: Viability assessment with global left ventricular longitudinal strain predicts recovery of left ventricular function after acute myocardial infarction. Circ Cardiovasc Imaging 2010; 3: 15–23.
[9]	Ohman EM, Armstrong PW, Christenson RH, et al. Cardiac troponin T levels for risk stratification in acute myocardial ischemia. GUSTO IIA Investigators. N Engl J Med 1996; 335: 1333–1341.
[10]	Moller JE, Whalley GA, Dini FL, Doughty RN, Gamble GD, Klein AL, Quintana M, Yu CM. Independent prognostic importance of a restrictive left ventricular filling pattern after myocardial infarction: an individual patient meta-analysis: Meta-Analysis Research Group in Echocardiography acute myocardial infarction. Circulation 2008; 117: 2591–2598.
[11]	Poulsen SH, Jensen SE, Egstrup K. Longitudinal changes and prognostic implications of left ventricular diastolic function in first acute myocardial infarction. Am Heart J 1999; 137: 910–918.

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APA Style

Said Shalaby Montaser, Mohamed Fahmy Elnoamany, Abdelrahman Hassan Elbokary, Amr Yosry Emam. (2020). Early and Late Assessment of Left Ventricular Function Using Global Longitudinal Strain After Primary Percutaneous Coronary Intervention. Cardiology and Cardiovascular Research, 4(4), 180-186. https://doi.org/10.11648/j.ccr.20200404.13

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ACS Style

Said Shalaby Montaser; Mohamed Fahmy Elnoamany; Abdelrahman Hassan Elbokary; Amr Yosry Emam. Early and Late Assessment of Left Ventricular Function Using Global Longitudinal Strain After Primary Percutaneous Coronary Intervention. Cardiol. Cardiovasc. Res. 2020, 4(4), 180-186. doi: 10.11648/j.ccr.20200404.13

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AMA Style

Said Shalaby Montaser, Mohamed Fahmy Elnoamany, Abdelrahman Hassan Elbokary, Amr Yosry Emam. Early and Late Assessment of Left Ventricular Function Using Global Longitudinal Strain After Primary Percutaneous Coronary Intervention. Cardiol Cardiovasc Res. 2020;4(4):180-186. doi: 10.11648/j.ccr.20200404.13

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@article{10.11648/j.ccr.20200404.13,
  author = {Said Shalaby Montaser and Mohamed Fahmy Elnoamany and Abdelrahman Hassan Elbokary and Amr Yosry Emam},
  title = {Early and Late Assessment of Left Ventricular Function Using Global Longitudinal Strain After Primary Percutaneous Coronary Intervention},
  journal = {Cardiology and Cardiovascular Research},
  volume = {4},
  number = {4},
  pages = {180-186},
  doi = {10.11648/j.ccr.20200404.13},
  url = {https://doi.org/10.11648/j.ccr.20200404.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20200404.13},
  abstract = {This prospective cohort study was conducted on fifty patients presented with STEMI and underwent primary PCI to Assess the impact of primary percutaneous coronary intervention (Primary PCI) on the left ventricular (LV) systolic function in patients with Acute STEMI using speckle tracking Echocardiography within the first 24 hrs and within 1 month after performing PCI. All patients were evaluated by history taking, clinical examination, laboratory investigations and coronary angiography assessment with revascularization of the infarct-related artery (IRA). All patients had CCU admission for 3 days. Conventional 2D echocardiography was performed within 24 h of Primary PCI to assess LV Global longitudinal peak systolic strain (GLPSS). All patients had been discharged to home with the guidelines-based medical treatment including (DAPT, Atorvastatin, ACEIs, Beta blockers). GLPSS was re-assessed after 1 month. The patients were divided into two groups: improved and non-improved, according to the improvement of LV systolic function measured by GLPSS. Improvement is defined by increase of GLPSS ≥ 10%. Our study demonstrated Improvement of LV function was based on GLPSS and was observed in 54% of the patients. Peak cardiac troponin T level, Peak creatine phosphokinase levels (CPK), LV diastolic function, and baseline GLPSS were identified as independent predictors of recovery of LV function. The patients who showed improvement of GLPSS were associated with improvement of EF (using simpson method).},
 year = {2020}
}

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TY  - JOUR
T1  - Early and Late Assessment of Left Ventricular Function Using Global Longitudinal Strain After Primary Percutaneous Coronary Intervention
AU  - Said Shalaby Montaser
AU  - Mohamed Fahmy Elnoamany
AU  - Abdelrahman Hassan Elbokary
AU  - Amr Yosry Emam
Y1  - 2020/10/13
PY  - 2020
N1  - https://doi.org/10.11648/j.ccr.20200404.13
DO  - 10.11648/j.ccr.20200404.13
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 180
EP  - 186
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20200404.13
AB  - This prospective cohort study was conducted on fifty patients presented with STEMI and underwent primary PCI to Assess the impact of primary percutaneous coronary intervention (Primary PCI) on the left ventricular (LV) systolic function in patients with Acute STEMI using speckle tracking Echocardiography within the first 24 hrs and within 1 month after performing PCI. All patients were evaluated by history taking, clinical examination, laboratory investigations and coronary angiography assessment with revascularization of the infarct-related artery (IRA). All patients had CCU admission for 3 days. Conventional 2D echocardiography was performed within 24 h of Primary PCI to assess LV Global longitudinal peak systolic strain (GLPSS). All patients had been discharged to home with the guidelines-based medical treatment including (DAPT, Atorvastatin, ACEIs, Beta blockers). GLPSS was re-assessed after 1 month. The patients were divided into two groups: improved and non-improved, according to the improvement of LV systolic function measured by GLPSS. Improvement is defined by increase of GLPSS ≥ 10%. Our study demonstrated Improvement of LV function was based on GLPSS and was observed in 54% of the patients. Peak cardiac troponin T level, Peak creatine phosphokinase levels (CPK), LV diastolic function, and baseline GLPSS were identified as independent predictors of recovery of LV function. The patients who showed improvement of GLPSS were associated with improvement of EF (using simpson method).
VL  - 4
IS  - 4
ER  -

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Author Information

Said Shalaby Montaser

Cardiology Department, Menoufia University, Menoufia, Egypt
Mohamed Fahmy Elnoamany

Cardiology Department, Menoufia University, Menoufia, Egypt
Abdelrahman Hassan Elbokary

National Heart Institute, Giza, Egypt
Amr Yosry Emam

Aswan Heart Center, Aswan, Egypt

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Plain Text BibTeX RIS

APA Style

Said Shalaby Montaser, Mohamed Fahmy Elnoamany, Abdelrahman Hassan Elbokary, Amr Yosry Emam. (2020). Early and Late Assessment of Left Ventricular Function Using Global Longitudinal Strain After Primary Percutaneous Coronary Intervention. Cardiology and Cardiovascular Research, 4(4), 180-186. https://doi.org/10.11648/j.ccr.20200404.13

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ACS Style

Said Shalaby Montaser; Mohamed Fahmy Elnoamany; Abdelrahman Hassan Elbokary; Amr Yosry Emam. Early and Late Assessment of Left Ventricular Function Using Global Longitudinal Strain After Primary Percutaneous Coronary Intervention. Cardiol. Cardiovasc. Res. 2020, 4(4), 180-186. doi: 10.11648/j.ccr.20200404.13

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AMA Style

Said Shalaby Montaser, Mohamed Fahmy Elnoamany, Abdelrahman Hassan Elbokary, Amr Yosry Emam. Early and Late Assessment of Left Ventricular Function Using Global Longitudinal Strain After Primary Percutaneous Coronary Intervention. Cardiol Cardiovasc Res. 2020;4(4):180-186. doi: 10.11648/j.ccr.20200404.13

Copy | Download

@article{10.11648/j.ccr.20200404.13,
  author = {Said Shalaby Montaser and Mohamed Fahmy Elnoamany and Abdelrahman Hassan Elbokary and Amr Yosry Emam},
  title = {Early and Late Assessment of Left Ventricular Function Using Global Longitudinal Strain After Primary Percutaneous Coronary Intervention},
  journal = {Cardiology and Cardiovascular Research},
  volume = {4},
  number = {4},
  pages = {180-186},
  doi = {10.11648/j.ccr.20200404.13},
  url = {https://doi.org/10.11648/j.ccr.20200404.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20200404.13},
  abstract = {This prospective cohort study was conducted on fifty patients presented with STEMI and underwent primary PCI to Assess the impact of primary percutaneous coronary intervention (Primary PCI) on the left ventricular (LV) systolic function in patients with Acute STEMI using speckle tracking Echocardiography within the first 24 hrs and within 1 month after performing PCI. All patients were evaluated by history taking, clinical examination, laboratory investigations and coronary angiography assessment with revascularization of the infarct-related artery (IRA). All patients had CCU admission for 3 days. Conventional 2D echocardiography was performed within 24 h of Primary PCI to assess LV Global longitudinal peak systolic strain (GLPSS). All patients had been discharged to home with the guidelines-based medical treatment including (DAPT, Atorvastatin, ACEIs, Beta blockers). GLPSS was re-assessed after 1 month. The patients were divided into two groups: improved and non-improved, according to the improvement of LV systolic function measured by GLPSS. Improvement is defined by increase of GLPSS ≥ 10%. Our study demonstrated Improvement of LV function was based on GLPSS and was observed in 54% of the patients. Peak cardiac troponin T level, Peak creatine phosphokinase levels (CPK), LV diastolic function, and baseline GLPSS were identified as independent predictors of recovery of LV function. The patients who showed improvement of GLPSS were associated with improvement of EF (using simpson method).},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Early and Late Assessment of Left Ventricular Function Using Global Longitudinal Strain After Primary Percutaneous Coronary Intervention
AU  - Said Shalaby Montaser
AU  - Mohamed Fahmy Elnoamany
AU  - Abdelrahman Hassan Elbokary
AU  - Amr Yosry Emam
Y1  - 2020/10/13
PY  - 2020
N1  - https://doi.org/10.11648/j.ccr.20200404.13
DO  - 10.11648/j.ccr.20200404.13
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 180
EP  - 186
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20200404.13
AB  - This prospective cohort study was conducted on fifty patients presented with STEMI and underwent primary PCI to Assess the impact of primary percutaneous coronary intervention (Primary PCI) on the left ventricular (LV) systolic function in patients with Acute STEMI using speckle tracking Echocardiography within the first 24 hrs and within 1 month after performing PCI. All patients were evaluated by history taking, clinical examination, laboratory investigations and coronary angiography assessment with revascularization of the infarct-related artery (IRA). All patients had CCU admission for 3 days. Conventional 2D echocardiography was performed within 24 h of Primary PCI to assess LV Global longitudinal peak systolic strain (GLPSS). All patients had been discharged to home with the guidelines-based medical treatment including (DAPT, Atorvastatin, ACEIs, Beta blockers). GLPSS was re-assessed after 1 month. The patients were divided into two groups: improved and non-improved, according to the improvement of LV systolic function measured by GLPSS. Improvement is defined by increase of GLPSS ≥ 10%. Our study demonstrated Improvement of LV function was based on GLPSS and was observed in 54% of the patients. Peak cardiac troponin T level, Peak creatine phosphokinase levels (CPK), LV diastolic function, and baseline GLPSS were identified as independent predictors of recovery of LV function. The patients who showed improvement of GLPSS were associated with improvement of EF (using simpson method).
VL  - 4
IS  - 4
ER  -

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