PMID- 38434228
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240305
IS  - 1016-1430 (Print)
IS  - 2251-6840 (Electronic)
IS  - 1016-1430 (Linking)
VI  - 38
DP  - 2024
TI  - Heart Failure and Echocardiography Derived Myocardial Wall Stress Link in 
      Diabetic Cases with Acute Myocardial Infarction Managed by Revascularization.
PG  - 3
LID - 10.47176/mjiri.38.3 [doi]
LID - 3
AB  - BACKGROUND: Diabetes is associated with left ventricular remodeling. Myocardial 
      wall stress is a measurable factor connected to the ventricular breadth and force 
      and is related to myocardial thickness; it can be measured by echocardiography. 
      The present study aimed to assess the link between heart failure (HF) and 
      echocardiography-derived myocardial wall stress in diabetic patients with ST 
      elevation myocardial infarction (STEMI) who were managed with revascularization. 
      METHODS: This study was a comparative prospective study that took place between 
      February 2022 and February 2023. It included 100 diabetic patients presented with 
      STEMI and managed by percutaneous coronary intervention (PCI). Patients were 
      selected from the cardiology departments at Al-Azhar University Hospital, 
      Damietta, Egypt. During the hospital stay, patients were checked for HF symptoms 
      and signs. They were also observed for 3 months after discharge for detection of 
      HF. Those who did not develop HF were assigned to group I, and those with HF were 
      assigned to group II. RESULTS: The mean value of end-systolic wall stress (ESWS) 
      was 77.09 +/- 12.22 and 97 +/- 13.44, and the mean value of end-diastolic wall stress 
      (EDWS) was 12.61 +/- 2.76 and 15.87 +/- 2.86 in groups I and II respectively, with 
      significant differences between the 2 groups. The cutoff point to detect HF was 
      88 KPa for ESWS and 13.5 KPa for EDWS, with a sensitivity of 70% and 79% and a 
      specificity of 80% and 61% for ESWS and EDWS, respectively. CONCLUSION: Elevated 
      left ventricle (LV) myocardial stress is related to increased HF in diabetic 
      patients whose HF was managed by PCI after STEMI. LV wall stress is a potentially 
      helpful risk stratification tool using routine echocardiography to determine the 
      treatment plane according to the risk status.
CI  - (c) 2024 Iran University of Medical Sciences.
FAU - Abdul Khalek, Elshazly
AU  - Abdul Khalek E
AD  - Department of Cardiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
AD  - King Abdulaziz Specialist Hospital, Taif, Saudi Arabia.
FAU - Abdel-Khalek El-Bahnasy, Hamouda
AU  - Abdel-Khalek El-Bahnasy H
AUID- ORCID: 0000-0002-7289-5056
AD  - Department of Cardiology, Damietta Faculty of Medicine, Al-Azhar University, 
      Damietta, Egypt.
FAU - Alshahat Omar, Mohamad
AU  - Alshahat Omar M
AD  - Department of Cardiology, Damietta Faculty of Medicine, Al-Azhar University, 
      Damietta, Egypt.
FAU - Ibrahim Elraghy, Mohamed
AU  - Ibrahim Elraghy M
AD  - Department of Cardiology, Damietta Faculty of Medicine, Al-Azhar University, 
      Damietta, Egypt.
FAU - Ahmed Dabash, Tarek Ahmed
AU  - Ahmed Dabash TA
AD  - Department of Cardiology, Damietta Faculty of Medicine, Al-Azhar University, 
      Damietta, Egypt.
FAU - S Berengy, Mahmoud
AU  - S Berengy M
AD  - Department of Internal Medicine, Damietta Faculty of Medicine, Al-Azhar 
      University, Damietta, Egypt.
FAU - Abozid, Elsayed
AU  - Abozid E
AD  - Department of Internal Medicine, Damietta Faculty of Medicine, Al-Azhar 
      University, Damietta, Egypt.
FAU - Reihan, Muhammad Saad
AU  - Reihan MS
AD  - Department of Cardiology, Faculty of Medicine, Al-Azhar University, Damietta, 
      Egypt.
AD  - Department of Medicine, Medicine Program, Batterjee Medical College, Jeddah 
      21442, Saudi Arabia.
LA  - eng
PT  - Journal Article
DEP - 20240115
PL  - Iran
TA  - Med J Islam Repub Iran
JT  - Medical journal of the Islamic Republic of Iran
JID - 8910777
PMC - PMC10907044
OTO - NOTNLM
OT  - Acute Myocardial Infarction
OT  - Heart Failure
OT  - Myocardial Wall Stress
OT  - Revascularization
COIS- The authors declare that they have no competing interests.
EDAT- 2024/03/04 06:43
MHDA- 2024/03/04 06:44
PMCR- 2024/01/15
CRDT- 2024/03/04 04:42
PHST- 2023/08/03 00:00 [received]
PHST- 2024/03/04 06:44 [medline]
PHST- 2024/03/04 06:43 [pubmed]
PHST- 2024/03/04 04:42 [entrez]
PHST- 2024/01/15 00:00 [pmc-release]
AID - 10.47176/mjiri.38.3 [doi]
PST - epublish
SO  - Med J Islam Repub Iran. 2024 Jan 15;38:3. doi: 10.47176/mjiri.38.3. eCollection 
      2024.