The prognostic value of left atrial function assessed by TDI after myocardial infarction (comparison between ST and non ST segment elevation myocardial infarction)
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 1
Abstract
Aim: The aim of this study is to assess the predictive value of LA function by TDI for assessment of the prognosis of patients with ST and non ST segment elevation (NSTE) myocardial infarction (MI). Methods and Results: The study included 41 patients with myocardial infarction who admitted to cardiology department at Tanta University Hospital divided as 25 patients with STEMI and 16 patients with NSTEMI, where clinical and echocardiographic parameters were collected within the first 72 hours of admission. Primary end point was assessed during the 3-month follow-up period which included cardiac mortality and/or rehospitalization for recurrent ACS or heart failure. Atrial function was assessed by conventional echocardiographic parameters and by Pulsed wave TDI that measured the mean atrial contraction velocity at the midsegments of interatrial septum, anterior, inferior, and lateral wall of LA (mLA-V). During the 3-month follow-up period, primary end point occurred in 16% (4/25) in STEMI patients and 18.8 % (3/16) in NSTEMI patients. STEMI patients mLA-V< 8 cm/sec emerged as an independent predictor for cardiac events (p. value = 0.001), in comparison to mLA-V< 6.3 cm/sec in NSTEMI patients with cardiac events. Also E/E` ratio showed a significant difference in patients with cardiac events in both groups. Conclusion: Assessment of LA function by TDI is a strong parameter in the prognosis and prediction of cardiac events in patients with ST and non ST segment elevation (NSTE) myocardial infarction (MI).
Authors and Affiliations
Mai Salama MD
Keywords
Related Articles
- EP ID EP246279
- DOI -
- Views 57
- Downloads 0
Role of Barever Natural Hair Inhibitor in Reducing Unwanted Body Hair Growth; As an Adjuvant Therapy with Waxing and with Normal Hair Removal Cream
Unwanted facial and body hair plays role in one’s cosmetic look, although unwanted hair is not detrimental to health but it is considered to affect the perfect look of person. Unwanted hair on the visible body parts like...
Effects of Quetiapine and Olazapine (D2 Antagonist) on Alcohol Dependence and Alcohol Withdrawal in Swiss Albino Mice
Today, alcohol is widely consumed and it is also the most commonly abused drug in the world, a cause of vast medical and societal costs. Alcohol in low to moderate amounts relieves anxiety and fosters a feeling of wellbe...
Review on Chronic Kidney Disease: Its Risk Factors and Treatment
Chronic kidney disease (CKD) is a life threatening condition characterized by progressive and irreversible loss of renal function. CKD is a precursor to end-stage renal disease, is associated with increased risk of morbi...
Dermatological Manifestations of Gastrointestinal Tract Malignancies: A Rare Prospective Study
Background: Dermatological manifestations of gastrointestinal tract (GIT) malignancies can be specific like cutaneous metastasis and nonspecific like paraneoplatic disorders and genodermatosis. They are protean but uncom...
Risk Factors and Outcome of Women with Post Partum Hemorrhage
Background: Postpartum hemorrhage is defined as blood loss more than 500 ml following normal vaginal delivery and 1000 ml following cesarean section. It is associated with significant maternal morbidity and mortality in...