PMID- 28664557 OWN - NLM STAT- MEDLINE DCOM- 20180518 LR - 20180518 IS - 1540-8175 (Electronic) IS - 0742-2822 (Linking) VI - 34 IP - 8 DP - 2017 Aug TI - Effects of oxygen therapy on wall-motion score index in patients with ST elevation myocardial infarction-the randomized SOCCER trial. PG - 1130-1137 LID - 10.1111/echo.13599 [doi] AB - BACKGROUND: Although oxygen (O(2) ) is routinely used in patients with acute myocardial infarction (AMI), it may have negative effects. In this substudy of the SOCCER trial, we aimed to evaluate the effects of O(2) -treatment on myocardial function in patients with ST elevation myocardial infarction (STEMI). METHODS: Normoxic (>/=94%) STEMI patients were randomized in the ambulance to either supplemental O(2) or room air until the end of the percutaneous coronary intervention (PCI). The patients underwent echocardiography on day 2-3 after the PCI and once again after 6 months. The study endpoints were wall-motion score index (WMSI) and left ventricular ejection fraction (LVEF). RESULTS: Forty-six patients in the O(2) group and 41 in the air group were included in the analysis. The index echocardiography showed no significant differences between the groups in WMSI (1.32+/-0.27 for O(2) group vs 1.28+/-0.28 for air group) or LVEF (47.0+/-8.5% vs 49.2+/-8.1%). Nor were there differences at 6 months in WMSI (1.16+/-0.25 vs 1.14+/-0.24) or LVEF (53.5+/-5.8% vs 53.5+/-6.9%). CONCLUSION: The present findings indicate no harm or benefit of supplemental O(2) on myocardial function in STEMI patients. Our results support that it is safe to withhold supplemental O(2) in normoxic STEMI patients. CI - (c) 2017, Wiley Periodicals, Inc. FAU - Khoshnood, Ardavan AU - Khoshnood A AUID- ORCID: 0000-0002-3142-4119 AD - Department of Clinical Sciences Lund, Emergency and Internal Medicine, Skane University Hospital, Lund University, Lund, Sweden. FAU - Akbarzadeh, Mahin AU - Akbarzadeh M AD - Department of Clinical Sciences Lund, Emergency and Internal Medicine, Skane University Hospital, Lund University, Lund, Sweden. FAU - Roijer, Anders AU - Roijer A AD - Department of Clinical Sciences Lund, Cardiology, Skane University Hospital, Lund University, Lund, Sweden. FAU - Meurling, Carl AU - Meurling C AD - Department of Clinical Sciences Lund, Cardiology, Skane University Hospital, Lund University, Lund, Sweden. FAU - Carlsson, Marcus AU - Carlsson M AD - Department of Clinical Sciences Lund, Clinical Physiology, Skane University Hospital, Lund University, Lund, Sweden. FAU - Bhiladvala, Pallonji AU - Bhiladvala P AD - Department of Cardiology, Skane University Hospital, Malmo, Sweden. FAU - Hoglund, Peter AU - Hoglund P AD - Region Skane Research and Development Center, Lund, Sweden. FAU - Sparv, David AU - Sparv D AD - Department of Clinical Sciences Lund, Cardiology, Skane University Hospital, Lund University, Lund, Sweden. FAU - Todorova, Lizbet AU - Todorova L AD - Region Skane Prehospital Unit, Lund, Sweden. FAU - Mokhtari, Arash AU - Mokhtari A AD - Department of Clinical Sciences Lund, Emergency and Internal Medicine, Skane University Hospital, Lund University, Lund, Sweden. FAU - Erlinge, David AU - Erlinge D AD - Department of Clinical Sciences Lund, Cardiology, Skane University Hospital, Lund University, Lund, Sweden. FAU - Ekelund, Ulf AU - Ekelund U AD - Department of Clinical Sciences Lund, Emergency and Internal Medicine, Skane University Hospital, Lund University, Lund, Sweden. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20170629 PL - United States TA - Echocardiography JT - Echocardiography (Mount Kisco, N.Y.) JID - 8511187 SB - IM MH - Aged MH - Echocardiography/*methods MH - Electrocardiography MH - Female MH - Follow-Up Studies MH - Heart Ventricles/diagnostic imaging/*physiopathology MH - Humans MH - Male MH - Middle Aged MH - Oxygen Inhalation Therapy/*methods MH - *Percutaneous Coronary Intervention MH - Retrospective Studies MH - ST Elevation Myocardial Infarction/diagnosis/physiopathology/*therapy MH - Single-Blind Method MH - Stroke Volume/*physiology MH - Time Factors MH - Treatment Outcome MH - Ventricular Function, Left/*physiology OTO - NOTNLM OT - ST elevation myocardial infarction OT - cardiology OT - echocardiography OT - emergency medicine OT - oxygen therapy EDAT- 2017/07/01 06:00 MHDA- 2018/05/19 06:00 CRDT- 2017/07/01 06:00 PHST- 2017/07/01 06:00 [pubmed] PHST- 2018/05/19 06:00 [medline] PHST- 2017/07/01 06:00 [entrez] AID - 10.1111/echo.13599 [doi] PST - ppublish SO - Echocardiography. 2017 Aug;34(8):1130-1137. doi: 10.1111/echo.13599. Epub 2017 Jun 29.