Left Ventricular Dyssynchrony Acutely After Myocardial Infarction Predicts Left Ventricular Remodeling

Left Ventricular Dyssynchrony Acutely After Myocardial Infarction Predicts Left Ventricular Remodeling Sjoerd A. Mollema, Su San Liem, Matthew S. Suffoletto, Gabe B. Bleeker, Bas L. van der Hoeven, Nico R. van de Veire, Eric Boersma, Eduard R. Holman, Ernst E. van der Wall, Martin J. Schalij, John G...

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Veröffentlicht in:	Journal of the American College of Cardiology 2007-10, Vol.50 (16), p.1532-1540
Hauptverfasser:	Mollema, Sjoerd A., MD, Liem, Su San, MD, Suffoletto, Matthew S., MD, Bleeker, Gabe B., MD, van der Hoeven, Bas L., MD, van de Veire, Nico R., MD, PhD, Boersma, Eric, PhD, Holman, Eduard R., MD, PhD, van der Wall, Ernst E., MD, PhD, Schalij, Martin J., MD, PhD, Gorcsan, John, MD, Bax, Jeroen J., MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Angioplasty, Balloon, Coronary Biological and medical sciences Cardiology Cardiology. Vascular system Cardiovascular Cardiovascular disease Confidence intervals Coronary heart disease Coronary vessels Creatine Kinase - blood Female Heart Heart attacks Humans Hypertension Image Processing, Computer-Assisted Internal Medicine Male Medical sciences Middle Aged Mitral Valve Insufficiency - diagnostic imaging Mitral Valve Insufficiency - physiopathology Multivariate Analysis Myocardial Infarction - physiopathology Myocardial Infarction - therapy Myocarditis. Cardiomyopathies ROC Curve Sensitivity and Specificity Severity of Illness Index Software Stroke Volume - physiology Troponin T - blood Ultrasonography, Doppler, Color Ultrasonography, Doppler, Pulsed Ventricular Dysfunction, Left - diagnostic imaging Ventricular Dysfunction, Left - physiopathology Ventricular Remodeling - physiology
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Zusammenfassung:	Left Ventricular Dyssynchrony Acutely After Myocardial Infarction Predicts Left Ventricular Remodeling Sjoerd A. Mollema, Su San Liem, Matthew S. Suffoletto, Gabe B. Bleeker, Bas L. van der Hoeven, Nico R. van de Veire, Eric Boersma, Eduard R. Holman, Ernst E. van der Wall, Martin J. Schalij, John Gorcsan III, Jeroen J. Bax This study was designed to predict left ventricular (LV) remodeling at 6-month follow-up after acute myocardial infarction. In total, 178 patients presented with acute myocardial infarction and underwent primary percutaneous coronary intervention. LV dyssynchrony, assessed at baseline by speckle-tracking radial strain analysis, was demonstrated to be superior in predicting LV remodeling at 6-month follow-up. Using a cutoff value of 130 ms, a sensitivity of 82% and a specificity of 95% were obtained to predict long-term LV remodeling.
ISSN:	0735-1097 1558-3597
DOI:	10.1016/j.jacc.2007.07.025