دورية أكاديمية

Reduced Left Ventricular Twist Early after Acute ST-Segment Elevation Myocardial Infarction as a Predictor of Left Ventricular Adverse Remodelling.

التفاصيل البيبلوغرافية
العنوان: Reduced Left Ventricular Twist Early after Acute ST-Segment Elevation Myocardial Infarction as a Predictor of Left Ventricular Adverse Remodelling.
المؤلفون: Lazăr MA; Cardiology Department, 'Victor Babes' University of Medicine and Pharmacy, 2 Eftimie Murgu Sq., 300041 Timisoara, Romania.; Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania.; Research Center of the Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania., Ionac I; Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania., Luca CT; Cardiology Department, 'Victor Babes' University of Medicine and Pharmacy, 2 Eftimie Murgu Sq., 300041 Timisoara, Romania.; Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania.; Research Center of the Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania., Petrescu L; Cardiology Department, 'Victor Babes' University of Medicine and Pharmacy, 2 Eftimie Murgu Sq., 300041 Timisoara, Romania., Vacarescu C; Cardiology Department, 'Victor Babes' University of Medicine and Pharmacy, 2 Eftimie Murgu Sq., 300041 Timisoara, Romania.; Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania.; Research Center of the Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania., Crisan S; Cardiology Department, 'Victor Babes' University of Medicine and Pharmacy, 2 Eftimie Murgu Sq., 300041 Timisoara, Romania.; Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania.; Research Center of the Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania., Gaiță D; Cardiology Department, 'Victor Babes' University of Medicine and Pharmacy, 2 Eftimie Murgu Sq., 300041 Timisoara, Romania.; Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania.; Research Center of the Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania., Cozma D; Cardiology Department, 'Victor Babes' University of Medicine and Pharmacy, 2 Eftimie Murgu Sq., 300041 Timisoara, Romania.; Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania.; Research Center of the Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania., Sosdean R; Cardiology Department, 'Victor Babes' University of Medicine and Pharmacy, 2 Eftimie Murgu Sq., 300041 Timisoara, Romania.; Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania.; Research Center of the Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania., Arnăutu DA; Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania., Cozlac AR; Cardiology Department, 'Victor Babes' University of Medicine and Pharmacy, 2 Eftimie Murgu Sq., 300041 Timisoara, Romania., Luca SA; Cardiology Department, 'Victor Babes' University of Medicine and Pharmacy, 2 Eftimie Murgu Sq., 300041 Timisoara, Romania.; Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania.; Research Center of the Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania., Gurgu A; Cardiology Department, 'Victor Babes' University of Medicine and Pharmacy, 2 Eftimie Murgu Sq., 300041 Timisoara, Romania., Totorean C; Cardiology Department, 'Victor Babes' University of Medicine and Pharmacy, 2 Eftimie Murgu Sq., 300041 Timisoara, Romania.; Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania.; Research Center of the Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania., Mornos C; Cardiology Department, 'Victor Babes' University of Medicine and Pharmacy, 2 Eftimie Murgu Sq., 300041 Timisoara, Romania.; Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania.; Research Center of the Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania.
المصدر: Diagnostics (Basel, Switzerland) [Diagnostics (Basel)] 2023 Sep 09; Vol. 13 (18). Date of Electronic Publication: 2023 Sep 09.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101658402 Publication Model: Electronic Cited Medium: Print ISSN: 2075-4418 (Print) Linking ISSN: 20754418 NLM ISO Abbreviation: Diagnostics (Basel) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Basel, Switzerland : MDPI AG, [2011]-
مستخلص: Background: The left ventricular (LV) remodelling process represents the main cause of heart failure after a ST-segment elevation myocardial infarction (STEMI). Speckle-tracking echocardiography (STE) can detect early deformation impairment, while also predicting LV remodelling during follow-up. The aim of this study was to investigate the STE parameters in predicting cardiac remodelling following a percutaneous coronary intervention (PCI) in STEMI patients.
Methods: The study population consisted of 60 patients with acute STEMI and no history of prior myocardial infarction treated with PCI. The patients were assessed both by conventional transthoracic and ST echocardiography in the first 12 h after admission and 6 months after the acute phase. Adverse remodelling was defined as an increase in LVEDV and/or LVESV by 15%.
Results: Adverse remodelling occurred in 26 patients (43.33%). By multivariate regression equation, the risk of adverse remodelling increases with age (by 1.1-fold), triglyceride level (by 1.009-fold), and midmyocardial radial strain (mid-RS) (1.06-fold). Increased initial twist decreases the chances of adverse remodelling (0.847-fold). The LV twist presented the largest area under the receiver operating characteristic (ROC) curve to predict adverse remodelling (AUROC = 0.648; 95% CI [0.506;0.789], p = 0.04). A twist value higher than 11° has a 76.9% specificity and a 72.7% positive predictive value for reverse remodelling at 6 months.
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فهرسة مساهمة: Keywords: ST-elevation myocardial infarction (STEMI); left ventricular layers; left ventricular remodelling; myocardial strain; speckle-tracking echocardiography; twist
تواريخ الأحداث: Date Created: 20230928 Latest Revision: 20231003
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10528752
DOI: 10.3390/diagnostics13182896
PMID: 37761263
قاعدة البيانات: MEDLINE