Association between left ventricular global longitudinal strain and adverse left ventricular dilatation after ST-segment-elevation myocardial infarction
Myocardial infarct size is a major determinant of left ventricular (LV) remodeling after ST-segment-elevation myocardial infarction. We evaluated whether LV global longitudinal strain (GLS), proposed as a novel marker of infarct size, is associated with 3- and 6-month LV dilatation after ST-segment-...
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Veröffentlicht in: | Circulation. Cardiovascular imaging 2014-01, Vol.7 (1), p.74-81 |
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creator | Joyce, Emer Hoogslag, Georgette E Leong, Darryl P Debonnaire, Philippe Katsanos, Spyridon Boden, Helèn Schalij, Martin J Marsan, Nina Ajmone Bax, Jeroen J Delgado, Victoria |
description | Myocardial infarct size is a major determinant of left ventricular (LV) remodeling after ST-segment-elevation myocardial infarction. We evaluated whether LV global longitudinal strain (GLS), proposed as a novel marker of infarct size, is associated with 3- and 6-month LV dilatation after ST-segment-elevation myocardial infarction.
In the first ST-segment-elevation myocardial infarction patients treated with primary percutaneous coronary intervention, baseline LVGLS was measured with 2-dimensional speckle-tracking echocardiography. Patients were dichotomized according to median value. The independent relationship between GLS groups and LV end-diastolic volume at 3 and 6 months (adjusted for clinical and echocardiographic variables) was assessed. The final study population comprised 1041 patients (60±12 years; 76% men). Median LVGLS was -15.0%. Patients with baseline LVGLS>-15.0% exhibited greater LV dilatation at 3 and 6 months compared with patients with GLS≤-15.0% (LV end-diastolic volume 123±44 versus 106±36 mL and 121±43 versus 102±34 mL, respectively; global group-time interaction P |
doi_str_mv | 10.1161/circimaging.113.000982 |
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In the first ST-segment-elevation myocardial infarction patients treated with primary percutaneous coronary intervention, baseline LVGLS was measured with 2-dimensional speckle-tracking echocardiography. Patients were dichotomized according to median value. The independent relationship between GLS groups and LV end-diastolic volume at 3 and 6 months (adjusted for clinical and echocardiographic variables) was assessed. The final study population comprised 1041 patients (60±12 years; 76% men). Median LVGLS was -15.0%. Patients with baseline LVGLS>-15.0% exhibited greater LV dilatation at 3 and 6 months compared with patients with GLS≤-15.0% (LV end-diastolic volume 123±44 versus 106±36 mL and 121±43 versus 102±34 mL, respectively; global group-time interaction P<0.001). This association retained the same statistical significance after adjustment for various relevant demographic, clinical, and echocardiographic characteristics. Further, net reclassification improvement index demonstrated significant incremental value of LVGLS for prediction of LV end-diastolic volume increase (0.14 [95% confidence interval, 0.00034-0.29]; P=0.04).
LVGLS before discharge after ST-segment-elevation myocardial infarction is independently associated with LV dilatation at follow-up.</description><identifier>ISSN: 1941-9651</identifier><identifier>EISSN: 1942-0080</identifier><identifier>DOI: 10.1161/circimaging.113.000982</identifier><identifier>PMID: 24186962</identifier><language>eng</language><publisher>United States</publisher><subject>Aged ; Chi-Square Distribution ; Dilatation, Pathologic ; Female ; Humans ; Hypertrophy, Left Ventricular - diagnostic imaging ; Hypertrophy, Left Ventricular - etiology ; Hypertrophy, Left Ventricular - physiopathology ; Linear Models ; Male ; Middle Aged ; Myocardial Contraction ; Myocardial Infarction - complications ; Myocardial Infarction - diagnostic imaging ; Myocardial Infarction - physiopathology ; Myocardial Infarction - therapy ; Percutaneous Coronary Intervention ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Time Factors ; Treatment Outcome ; Ultrasonography ; Ventricular Function, Left ; Ventricular Remodeling</subject><ispartof>Circulation. Cardiovascular imaging, 2014-01, Vol.7 (1), p.74-81</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c425t-8557ed8f82e38c01892437c9ae1e9e9789fcd9d701fed266ff7939cc4ae64693</citedby><cites>FETCH-LOGICAL-c425t-8557ed8f82e38c01892437c9ae1e9e9789fcd9d701fed266ff7939cc4ae64693</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,3687,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24186962$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Joyce, Emer</creatorcontrib><creatorcontrib>Hoogslag, Georgette E</creatorcontrib><creatorcontrib>Leong, Darryl P</creatorcontrib><creatorcontrib>Debonnaire, Philippe</creatorcontrib><creatorcontrib>Katsanos, Spyridon</creatorcontrib><creatorcontrib>Boden, Helèn</creatorcontrib><creatorcontrib>Schalij, Martin J</creatorcontrib><creatorcontrib>Marsan, Nina Ajmone</creatorcontrib><creatorcontrib>Bax, Jeroen J</creatorcontrib><creatorcontrib>Delgado, Victoria</creatorcontrib><title>Association between left ventricular global longitudinal strain and adverse left ventricular dilatation after ST-segment-elevation myocardial infarction</title><title>Circulation. Cardiovascular imaging</title><addtitle>Circ Cardiovasc Imaging</addtitle><description>Myocardial infarct size is a major determinant of left ventricular (LV) remodeling after ST-segment-elevation myocardial infarction. We evaluated whether LV global longitudinal strain (GLS), proposed as a novel marker of infarct size, is associated with 3- and 6-month LV dilatation after ST-segment-elevation myocardial infarction.
In the first ST-segment-elevation myocardial infarction patients treated with primary percutaneous coronary intervention, baseline LVGLS was measured with 2-dimensional speckle-tracking echocardiography. Patients were dichotomized according to median value. The independent relationship between GLS groups and LV end-diastolic volume at 3 and 6 months (adjusted for clinical and echocardiographic variables) was assessed. The final study population comprised 1041 patients (60±12 years; 76% men). Median LVGLS was -15.0%. Patients with baseline LVGLS>-15.0% exhibited greater LV dilatation at 3 and 6 months compared with patients with GLS≤-15.0% (LV end-diastolic volume 123±44 versus 106±36 mL and 121±43 versus 102±34 mL, respectively; global group-time interaction P<0.001). This association retained the same statistical significance after adjustment for various relevant demographic, clinical, and echocardiographic characteristics. Further, net reclassification improvement index demonstrated significant incremental value of LVGLS for prediction of LV end-diastolic volume increase (0.14 [95% confidence interval, 0.00034-0.29]; P=0.04).
LVGLS before discharge after ST-segment-elevation myocardial infarction is independently associated with LV dilatation at follow-up.</description><subject>Aged</subject><subject>Chi-Square Distribution</subject><subject>Dilatation, Pathologic</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertrophy, Left Ventricular - diagnostic imaging</subject><subject>Hypertrophy, Left Ventricular - etiology</subject><subject>Hypertrophy, Left Ventricular - physiopathology</subject><subject>Linear Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardial Contraction</subject><subject>Myocardial Infarction - complications</subject><subject>Myocardial Infarction - diagnostic imaging</subject><subject>Myocardial Infarction - physiopathology</subject><subject>Myocardial Infarction - therapy</subject><subject>Percutaneous Coronary Intervention</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Ultrasonography</subject><subject>Ventricular Function, Left</subject><subject>Ventricular Remodeling</subject><issn>1941-9651</issn><issn>1942-0080</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkctO5DAQRS0E4v0LKEs2AT8Sx162WkPTEg8Jeh-57XJk5DhgO434k_ncCYRhw6pc1_feWhyELgi-IoSTa-2idr3qXOgmgV1hjKWge-iYyIqWGAu8__UmpeQ1OUInKb1gzBmuxSE6ohURXHJ6jP4uUhq0U9kNodhCfgcIhQebix2EHJ0evYpF54et8oUfQufyaFyYlpSjcqFQwRTK7CAm-J0zzqs8dyubIRbPmzJB10-WEjzs5q_-Y9AqGjeVumBV1J_qGTqwyic4_56naHPzZ7O8Le8eV-vl4q7UFa1zKeq6ASOsoMCExkRIWrFGSwUEJMhGSKuNNA0mFgzl3NpGMql1pYBXXLJTdDnXvsbhbYSU294lDd6rAMOYWlJJypuq5myy8tmq45BSBNu-xglB_GgJbj-htMv103J9v1itH1aTwNoZyhS8-L4xbnswP7H_FNg_yiWPZg</recordid><startdate>201401</startdate><enddate>201401</enddate><creator>Joyce, Emer</creator><creator>Hoogslag, Georgette E</creator><creator>Leong, Darryl P</creator><creator>Debonnaire, Philippe</creator><creator>Katsanos, Spyridon</creator><creator>Boden, Helèn</creator><creator>Schalij, Martin J</creator><creator>Marsan, Nina Ajmone</creator><creator>Bax, Jeroen J</creator><creator>Delgado, Victoria</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201401</creationdate><title>Association between left ventricular global longitudinal strain and adverse left ventricular dilatation after ST-segment-elevation myocardial infarction</title><author>Joyce, Emer ; Hoogslag, Georgette E ; Leong, Darryl P ; Debonnaire, Philippe ; Katsanos, Spyridon ; Boden, Helèn ; Schalij, Martin J ; Marsan, Nina Ajmone ; Bax, Jeroen J ; Delgado, Victoria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c425t-8557ed8f82e38c01892437c9ae1e9e9789fcd9d701fed266ff7939cc4ae64693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Chi-Square Distribution</topic><topic>Dilatation, Pathologic</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertrophy, Left Ventricular - diagnostic imaging</topic><topic>Hypertrophy, Left Ventricular - etiology</topic><topic>Hypertrophy, Left Ventricular - physiopathology</topic><topic>Linear Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myocardial Contraction</topic><topic>Myocardial Infarction - complications</topic><topic>Myocardial Infarction - diagnostic imaging</topic><topic>Myocardial Infarction - physiopathology</topic><topic>Myocardial Infarction - therapy</topic><topic>Percutaneous Coronary Intervention</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Ultrasonography</topic><topic>Ventricular Function, Left</topic><topic>Ventricular Remodeling</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Joyce, Emer</creatorcontrib><creatorcontrib>Hoogslag, Georgette E</creatorcontrib><creatorcontrib>Leong, Darryl P</creatorcontrib><creatorcontrib>Debonnaire, Philippe</creatorcontrib><creatorcontrib>Katsanos, Spyridon</creatorcontrib><creatorcontrib>Boden, Helèn</creatorcontrib><creatorcontrib>Schalij, Martin J</creatorcontrib><creatorcontrib>Marsan, Nina Ajmone</creatorcontrib><creatorcontrib>Bax, Jeroen J</creatorcontrib><creatorcontrib>Delgado, Victoria</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation. Cardiovascular imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Joyce, Emer</au><au>Hoogslag, Georgette E</au><au>Leong, Darryl P</au><au>Debonnaire, Philippe</au><au>Katsanos, Spyridon</au><au>Boden, Helèn</au><au>Schalij, Martin J</au><au>Marsan, Nina Ajmone</au><au>Bax, Jeroen J</au><au>Delgado, Victoria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between left ventricular global longitudinal strain and adverse left ventricular dilatation after ST-segment-elevation myocardial infarction</atitle><jtitle>Circulation. Cardiovascular imaging</jtitle><addtitle>Circ Cardiovasc Imaging</addtitle><date>2014-01</date><risdate>2014</risdate><volume>7</volume><issue>1</issue><spage>74</spage><epage>81</epage><pages>74-81</pages><issn>1941-9651</issn><eissn>1942-0080</eissn><abstract>Myocardial infarct size is a major determinant of left ventricular (LV) remodeling after ST-segment-elevation myocardial infarction. We evaluated whether LV global longitudinal strain (GLS), proposed as a novel marker of infarct size, is associated with 3- and 6-month LV dilatation after ST-segment-elevation myocardial infarction.
In the first ST-segment-elevation myocardial infarction patients treated with primary percutaneous coronary intervention, baseline LVGLS was measured with 2-dimensional speckle-tracking echocardiography. Patients were dichotomized according to median value. The independent relationship between GLS groups and LV end-diastolic volume at 3 and 6 months (adjusted for clinical and echocardiographic variables) was assessed. The final study population comprised 1041 patients (60±12 years; 76% men). Median LVGLS was -15.0%. Patients with baseline LVGLS>-15.0% exhibited greater LV dilatation at 3 and 6 months compared with patients with GLS≤-15.0% (LV end-diastolic volume 123±44 versus 106±36 mL and 121±43 versus 102±34 mL, respectively; global group-time interaction P<0.001). This association retained the same statistical significance after adjustment for various relevant demographic, clinical, and echocardiographic characteristics. Further, net reclassification improvement index demonstrated significant incremental value of LVGLS for prediction of LV end-diastolic volume increase (0.14 [95% confidence interval, 0.00034-0.29]; P=0.04).
LVGLS before discharge after ST-segment-elevation myocardial infarction is independently associated with LV dilatation at follow-up.</abstract><cop>United States</cop><pmid>24186962</pmid><doi>10.1161/circimaging.113.000982</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Aged Chi-Square Distribution Dilatation, Pathologic Female Humans Hypertrophy, Left Ventricular - diagnostic imaging Hypertrophy, Left Ventricular - etiology Hypertrophy, Left Ventricular - physiopathology Linear Models Male Middle Aged Myocardial Contraction Myocardial Infarction - complications Myocardial Infarction - diagnostic imaging Myocardial Infarction - physiopathology Myocardial Infarction - therapy Percutaneous Coronary Intervention Retrospective Studies Risk Assessment Risk Factors Time Factors Treatment Outcome Ultrasonography Ventricular Function, Left Ventricular Remodeling |
title | Association between left ventricular global longitudinal strain and adverse left ventricular dilatation after ST-segment-elevation myocardial infarction |
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