학술논문
Moderated Posters session * The prognostic value of myocardial deformation imaging in cardiomyopathy: 12/12/2013, 08:30-12:30 * Location: Moderated Poster area
Document Type
Article
Author
Cakmak, H; Ural, E; Sahin, T; Al, N; Emre, E; Saracoglu, E; Akbulut, T; Ural, D; Rangel, I; Goncalves, A; Sousa, C; Rodrigues, J; Macedo, F; Silva-Cardoso, J; Maciel, MJ; Iliuta, L; Nagata, Y; Takeuchi, M; Kuwaki, H; Hasyashi, A; Otani, K; Yoshitani, H; Osuji, Y; Haberka, M; Liszka, J; Kozyra, A; Tabor, Z; Finik, M; Gasior, Z; Hasselberg, NE; Haugaa, KH; Brunet, A; Kongsgaard, E; Donal, E; Edvardsen, T; Sugano, A; Seo, Y; Sato, K; Atsumi, A; Yamamoto, M; Machino, T; Harimura, Y; Kawamura, R; Ishizu, T; Aonuma, K; Biering-Sorensen, T; Hoffmann, S; Mogelvang, R; Iversen, AZ; Fritz-Hansen, T; Bech, J; Jensen, JS; Flarup Dons, M; Biering-Soerensen, T; Skov Jensen, J; Fritz Hansen, T; Bech, J; Chantal De Knegt, M; Sivertsen, J; Moegelvang, R
Source
European Journal of Echocardiography; December 2013, Vol. 14 Issue: Supplement 2 pii64-ii64, 1p
Subject
Language
ISSN
15252167; 15322114
Abstract
Aim: We aimed to investigate the prognostic value and reveal the role of a novel method speckle tracking echocardiography for predicting adverse cardiovascular events in STEMI patients undergoing successful primary percutaneous intervention (PCI). Methods: We included 117 patients who admitted to University Cardiology Clinic with STEMI and underwent successful PCI between June 2011 and January 2012. After PCI, in the first three days (baseline) and at the first month after discharge (control), echocardiographic evaluations of patients were carried out. The relationship between cardiac adverse events that occurred during the six-month follow-up and echocardiographic parameters were evaluated. Patients were divided into two groups according to development of adverse event (a composite of revascularization, reinfarction and hospitalization for heart failure) and comparisons between groups were made. Results: When we compare the baseline strain values of patients included in the study, the baseline average global longitudinal strain (GLS) of event group (n=20) was -12,10 ± 2,59; the baseline average GLS of event free group (n=97) was -14,46 ± 3,65. In the group with event, we determined statistically significant lower baseline GLS values. In terms of baseline circumferential strain (CS) and radial strain (RS) values, there was no statistically significant difference between the two groups. In the roc analysis, when we use the threshold values below -12,9 for the baseline GLS, we detected that baseline GLS predicted the development of adverse events with % 75 sensitivity and % 70 specificity. While there was no change in control GLS values from the baseline in the event group at first month echocardiography, in the event free group, statistically significant higher and improved strain values were observed. According to these results, increased strain values at the first month were associated with better prognosis. In terms of CS and RS values, there was no statistically significant difference between baseline and control in both groups. Conclusion: Our study revealed that strain analysis with speckle tracking echocardiography is a new echocardiographic method which can be used to determine the prognosis of patients with STEMI.