PMID- 27358705
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160630
LR  - 20200930
IS  - 1975-4612 (Print)
IS  - 2005-9655 (Electronic)
IS  - 1975-4612 (Linking)
VI  - 24
IP  - 2
DP  - 2016 Jun
TI  - Echocardiographic Predictors for Left Ventricular Remodeling after Acute ST 
      Elevation Myocardial Infarction with Low Risk Group: Speckle Tracking Analysis.
PG  - 128-34
LID - 10.4250/jcu.2016.24.2.128 [doi]
AB  - BACKGROUND: We sought to assess echocardiographic predictors of left ventricular 
      (LV) adverse remodeling after successfully reperfused acute ST elevation 
      myocardial infarction (STEMI). LV remodeling is commonly found in STEMI patients 
      and it may suggest adverse outcome in acute myocardial infarction. We sought to 
      identify whether 2D strain and torsion be independent parameters for prediction 
      of LV adverse remodeling. METHODS: We investigated 208 patients with low-risk 
      STEMI patients who had follow up echocardiography at 6 or more months. After 
      clinical assessments, all patients received revascularization according to 
      current guideline. LV remodeling was defined as > 20% increase in end-diastolic 
      volume (EDV) at follow up. RESULTS: During the follow-up (11.9 +/- 5.3 months), 53 
      patients (25.5%) showed LV remodeling. In univariate analysis, EDV, end-systolic 
      volume, deceleration time (DT), CK-MB, and global longitudinal strain (GLS) were 
      associated with LV remodeling. In multivariate analysis, EDV [hazard ratio (HR): 
      0.922, 95% confidence interval (CI): 0.897-0.948, p< 0.001], GLS (HR: 0.842, 95% 
      CI: 0.728-0.974, p = 0.020), DT (HR: 0.989, 95% CI: 0.980-0.998, p = 0.023) and 
      CK-MB (HR: 1.003, 95% CI: 1.000-1.005, p = 0.033) independently predicted LV 
      remodeling. However, global circumferential strain, net twist, and twist or 
      untwist rate were not associated with remodeling. CONCLUSION: Of various 
      parameters of speckle strain, only GLS predicted adverse remodeling in STEMI 
      patients.
FAU - Na, Hyun-Min
AU  - Na HM
AD  - College of Medicine, Seoul National University, Seoul, Korea.
FAU - Cho, Goo-Yeong
AU  - Cho GY
AD  - Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, 
      Korea.
FAU - Lee, Joo Myung
AU  - Lee JM
AD  - Cardiovascular Center, Seoul National University Hospital, Seoul, Korea.
FAU - Cha, Myung-Jin
AU  - Cha MJ
AD  - Cardiovascular Center, Seoul National University Hospital, Seoul, Korea.
FAU - Yoon, Yeonyee E
AU  - Yoon YE
AD  - Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, 
      Korea.
FAU - Lee, Seung-Pyo
AU  - Lee SP
AD  - Cardiovascular Center, Seoul National University Hospital, Seoul, Korea.
FAU - Kim, Hyung-Kwan
AU  - Kim HK
AD  - Cardiovascular Center, Seoul National University Hospital, Seoul, Korea.
FAU - Kim, Yong-Jin
AU  - Kim YJ
AD  - Cardiovascular Center, Seoul National University Hospital, Seoul, Korea.
FAU - Sohn, Dae-Won
AU  - Sohn DW
AD  - Cardiovascular Center, Seoul National University Hospital, Seoul, Korea.
LA  - eng
PT  - Journal Article
DEP - 20160622
PL  - Korea (South)
TA  - J Cardiovasc Ultrasound
JT  - Journal of cardiovascular ultrasound
JID - 101477138
PMC - PMC4925390
OTO - NOTNLM
OT  - Acute myocardial infarction
OT  - Remodeling
OT  - Strain
EDAT- 2016/07/01 06:00
MHDA- 2016/07/01 06:01
PMCR- 2016/06/01
CRDT- 2016/07/01 06:00
PHST- 2016/01/18 00:00 [received]
PHST- 2016/04/21 00:00 [revised]
PHST- 2016/05/10 00:00 [accepted]
PHST- 2016/07/01 06:00 [entrez]
PHST- 2016/07/01 06:00 [pubmed]
PHST- 2016/07/01 06:01 [medline]
PHST- 2016/06/01 00:00 [pmc-release]
AID - 10.4250/jcu.2016.24.2.128 [doi]
PST - ppublish
SO  - J Cardiovasc Ultrasound. 2016 Jun;24(2):128-34. doi: 10.4250/jcu.2016.24.2.128. 
      Epub 2016 Jun 22.