Correlation between ST segment shift and cardiac diastolic function in patients with acute myocardial infarction
Diastolic dysfunction is the early sign of myocardial ischemia that usually occurs earlier than ECG changes. To determine the existence of a correlation between ST segment shift and diastolic dysfunction among patients with AMI. Fourty six patients with significant ST segment elevation or depression...
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| Veröffentlicht in: | Journal of electrocardiology 2018-07, Vol.51 (4), p.592-597 |
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| container_title | Journal of electrocardiology |
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| creator | Azoz, Ayman Youssef, Adel Alshehri, Abdullah Gad, Ahmed Rashed, Mostafa Yahia, Mohamed Alsharqi, Maryam Al Saikhan, Lamia |
| description | Diastolic dysfunction is the early sign of myocardial ischemia that usually occurs earlier than ECG changes.
To determine the existence of a correlation between ST segment shift and diastolic dysfunction among patients with AMI.
Fourty six patients with significant ST segment elevation or depression and having symptoms of acute myocardial infarction for |
| doi_str_mv | 10.1016/j.jelectrocard.2018.03.006 |
| format | Article |
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To determine the existence of a correlation between ST segment shift and diastolic dysfunction among patients with AMI.
Fourty six patients with significant ST segment elevation or depression and having symptoms of acute myocardial infarction for <12 h were enrolled in this study. Patients were examined for serial ECG, cardiac enzymes, and echocardiography.
There was no significant correlation between ST segment elevation or depression and majority of the diastolic indices. Few diastolic parameters; such as, E/A ratio of the mitral valve and deceleration time of the tricuspid valve showed a direct correlation with the ECG changes. Whereas, the Tei Index of the LV function showed a borderline correlation to the ST segment elevation at discharge.
Overall, there was no correlation between either ST segment elevation or depression and the LV or RV diastolic function in patients with acute coronary syndrome (ACS). Improvement of the ST segment total score was associated with improvement of the diastolic function grades at discharge. Moreover, this association has shown an evidence of dose response relationship, the more improvement in total score at discharge the more improvement in diastolic function grade level.</description><identifier>ISSN: 0022-0736</identifier><identifier>EISSN: 1532-8430</identifier><identifier>DOI: 10.1016/j.jelectrocard.2018.03.006</identifier><identifier>PMID: 29996996</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Echocardiography ; Left ventricle ; Myocardial infarction</subject><ispartof>Journal of electrocardiology, 2018-07, Vol.51 (4), p.592-597</ispartof><rights>2018 Elsevier Inc.</rights><rights>Copyright © 2018 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c380t-d5b0bd19a129a957e4d88c80a7f3291966745ff170aac6bfb0cb712a66c172203</citedby><cites>FETCH-LOGICAL-c380t-d5b0bd19a129a957e4d88c80a7f3291966745ff170aac6bfb0cb712a66c172203</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jelectrocard.2018.03.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29996996$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Azoz, Ayman</creatorcontrib><creatorcontrib>Youssef, Adel</creatorcontrib><creatorcontrib>Alshehri, Abdullah</creatorcontrib><creatorcontrib>Gad, Ahmed</creatorcontrib><creatorcontrib>Rashed, Mostafa</creatorcontrib><creatorcontrib>Yahia, Mohamed</creatorcontrib><creatorcontrib>Alsharqi, Maryam</creatorcontrib><creatorcontrib>Al Saikhan, Lamia</creatorcontrib><title>Correlation between ST segment shift and cardiac diastolic function in patients with acute myocardial infarction</title><title>Journal of electrocardiology</title><addtitle>J Electrocardiol</addtitle><description>Diastolic dysfunction is the early sign of myocardial ischemia that usually occurs earlier than ECG changes.
To determine the existence of a correlation between ST segment shift and diastolic dysfunction among patients with AMI.
Fourty six patients with significant ST segment elevation or depression and having symptoms of acute myocardial infarction for <12 h were enrolled in this study. Patients were examined for serial ECG, cardiac enzymes, and echocardiography.
There was no significant correlation between ST segment elevation or depression and majority of the diastolic indices. Few diastolic parameters; such as, E/A ratio of the mitral valve and deceleration time of the tricuspid valve showed a direct correlation with the ECG changes. Whereas, the Tei Index of the LV function showed a borderline correlation to the ST segment elevation at discharge.
Overall, there was no correlation between either ST segment elevation or depression and the LV or RV diastolic function in patients with acute coronary syndrome (ACS). Improvement of the ST segment total score was associated with improvement of the diastolic function grades at discharge. Moreover, this association has shown an evidence of dose response relationship, the more improvement in total score at discharge the more improvement in diastolic function grade level.</description><subject>Echocardiography</subject><subject>Left ventricle</subject><subject>Myocardial infarction</subject><issn>0022-0736</issn><issn>1532-8430</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNqNkEFPHCEYhomxqav2LzSkJy8z_YBdZvDWrFWbmHiongnDfCibmWELjMZ_X9bVpkcTApfnfd_wEPKNQc2Aye-beoMD2hyDNbGvObC2BlEDyAOyYCvBq3Yp4JAsADivoBHyiByntAEAxRv-mRxxpZQsZ0G26xAjDib7MNEO8zPiRH_f0YQPI06ZpkfvMjVTT3db3lharpTD4C1182Rfc36i29JQ-ESffX6kxs4Z6fgS9qGhEM7EV_iUfHJmSPjl7T0h95c_79bX1c3t1a_1j5vKihZy1a866HqmDOPKqFWDy75tbQumcYIrpqRslivnWAPGWNm5DmzXMG6ktKzhHMQJOdv3bmP4M2PKevTJ4jCYCcOcNAfZKsaWXBT0fI_aGFKK6PQ2-tHEF81A74zrjf7fuN4Z1yB0MV7CX9925m7E_l_0XXEBLvYAlt8-eYw62aLKYu9jqdR98B_Z-QuM7ZsG</recordid><startdate>201807</startdate><enddate>201807</enddate><creator>Azoz, Ayman</creator><creator>Youssef, Adel</creator><creator>Alshehri, Abdullah</creator><creator>Gad, Ahmed</creator><creator>Rashed, Mostafa</creator><creator>Yahia, Mohamed</creator><creator>Alsharqi, Maryam</creator><creator>Al Saikhan, Lamia</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201807</creationdate><title>Correlation between ST segment shift and cardiac diastolic function in patients with acute myocardial infarction</title><author>Azoz, Ayman ; Youssef, Adel ; Alshehri, Abdullah ; Gad, Ahmed ; Rashed, Mostafa ; Yahia, Mohamed ; Alsharqi, Maryam ; Al Saikhan, Lamia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c380t-d5b0bd19a129a957e4d88c80a7f3291966745ff170aac6bfb0cb712a66c172203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Echocardiography</topic><topic>Left ventricle</topic><topic>Myocardial infarction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Azoz, Ayman</creatorcontrib><creatorcontrib>Youssef, Adel</creatorcontrib><creatorcontrib>Alshehri, Abdullah</creatorcontrib><creatorcontrib>Gad, Ahmed</creatorcontrib><creatorcontrib>Rashed, Mostafa</creatorcontrib><creatorcontrib>Yahia, Mohamed</creatorcontrib><creatorcontrib>Alsharqi, Maryam</creatorcontrib><creatorcontrib>Al Saikhan, Lamia</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of electrocardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Azoz, Ayman</au><au>Youssef, Adel</au><au>Alshehri, Abdullah</au><au>Gad, Ahmed</au><au>Rashed, Mostafa</au><au>Yahia, Mohamed</au><au>Alsharqi, Maryam</au><au>Al Saikhan, Lamia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlation between ST segment shift and cardiac diastolic function in patients with acute myocardial infarction</atitle><jtitle>Journal of electrocardiology</jtitle><addtitle>J Electrocardiol</addtitle><date>2018-07</date><risdate>2018</risdate><volume>51</volume><issue>4</issue><spage>592</spage><epage>597</epage><pages>592-597</pages><issn>0022-0736</issn><eissn>1532-8430</eissn><abstract>Diastolic dysfunction is the early sign of myocardial ischemia that usually occurs earlier than ECG changes.
To determine the existence of a correlation between ST segment shift and diastolic dysfunction among patients with AMI.
Fourty six patients with significant ST segment elevation or depression and having symptoms of acute myocardial infarction for <12 h were enrolled in this study. Patients were examined for serial ECG, cardiac enzymes, and echocardiography.
There was no significant correlation between ST segment elevation or depression and majority of the diastolic indices. Few diastolic parameters; such as, E/A ratio of the mitral valve and deceleration time of the tricuspid valve showed a direct correlation with the ECG changes. Whereas, the Tei Index of the LV function showed a borderline correlation to the ST segment elevation at discharge.
Overall, there was no correlation between either ST segment elevation or depression and the LV or RV diastolic function in patients with acute coronary syndrome (ACS). Improvement of the ST segment total score was associated with improvement of the diastolic function grades at discharge. Moreover, this association has shown an evidence of dose response relationship, the more improvement in total score at discharge the more improvement in diastolic function grade level.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29996996</pmid><doi>10.1016/j.jelectrocard.2018.03.006</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of electrocardiology, 2018-07, Vol.51 (4), p.592-597 |
| issn | 0022-0736 1532-8430 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2068911423 |
| source | ScienceDirect Journals (5 years ago - present) |
| subjects | Echocardiography Left ventricle Myocardial infarction |
| title | Correlation between ST segment shift and cardiac diastolic function in patients with acute myocardial infarction |
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