Original Investigation

Value of Two-Dimensional Strain Imaging in Prediction of Myocardial Function Recovery after Percutaneous Revascularization of Infarct-Related Artery

Corresponding Author

Mohamed Shehata M.D.

orcid.org/0000-0002-9981-0040

Department of Cardiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Address for correspondence and reprint requests: Mohamed Shehata, M.D., Department of Cardiology, Faculty of Medicine, Ain Shams University, Abbasia. P.O.: 11381. Cairo, Egypt. Fax: +2022564304

E-mail: [email protected]

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Mohamed Shehata M.D.,

Corresponding Author

Mohamed Shehata M.D.

orcid.org/0000-0002-9981-0040

Department of Cardiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Address for correspondence and reprint requests: Mohamed Shehata, M.D., Department of Cardiology, Faculty of Medicine, Ain Shams University, Abbasia. P.O.: 11381. Cairo, Egypt. Fax: +2022564304

E-mail: [email protected]

Search for more papers by this author

First published: 24 November 2014

https://doi.org/10.1111/echo.12704

Citations: 6

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Abstract

Background

Speckle tracking is integrated into echocardiographic systems for evaluation of left ventricular (LV) function by means of automated function imaging (AFI). This study aimed at evaluating role of AFI-based strain in predicting postpercutaneous coronary intervention (PCI) LV function recovery.

Methods

Fifty patients with anterior wall myocardial infarction and impaired LV ejection fraction (LVEF) were prospectively enrolled. All patients showed positive viability results concerning left anterior descending (LAD) artery territory using low-dose dobutamine stress echocardiography (LDSE). All patients underwent strain imaging using AFI (before and after PCI).

Result

Mean age of the study population was 56.2 ± 5.4 years, 34 (68%) being males. 24 (48%) patients showed post-PCI LV function recovery after 4 months. They showed higher pre-PCI LVEF and AFI-based strain values. Logistic regression analysis presented baseline LVEF as an independent predictor of LV function recovery (Odds ratio = 0.7026, 95% CI: 0.54–0.93). A pre-PCI AFI strain value of −4.5% (sensitivity: 84% and specificity: 75%) for LAD territory and −9.5% (sensitivity and specificity of 50%) for global LV predicted LV function recovery.

Conclusion

Assessment of global and territorial LV strains using AFI; is of added value upon viability assessment using LDSE. Higher baseline LVEF and strain values are associated with post-PCI LV function recovery.

References

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Citing Literature

Volume32, Issue4

April 2015

Pages 630-637

Value of Two-Dimensional Strain Imaging in Prediction of Myocardial Function Recovery after Percutaneous Revascularization of Infarct-Related Artery

Abstract

Background

Methods

Result

Conclusion

References

Citing Literature

References

Information

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