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Copyright © 2016 Selma Kenar Tiryakioglu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. The aim of this study is to show whether the septal E / ( [superscript] E [variant prime] [/superscript] × [superscript] S [variant prime] [/superscript] ) ratio assessed by tissue Doppler echocardiography can predict left ventricular remodeling after first ST segment elevation myocardial infarction treated successfully with primary percutaneous intervention. Methods. Consecutive patients ( n = 111 ) presenting with acute anterior myocardial infarction for the first time in their life were enrolled. All patients underwent successful primary percutaneous coronary intervention. Standard and tissue Doppler echocardiography were performed in the first 24-36 hours of admission. Echocardiographic examination was repeated after 6 months to reassess left ventricular volumes. Septal E / ( [superscript] E [variant prime] [/superscript] × [superscript] S [variant prime] [/superscript] ) ratio was assessed by pulsed Doppler echocardiography. Results. Group 1 consisted of 33 patients with left ventricular (LV) remodeling, and Group 2 had 78 patients without LV remodeling. E / ( [superscript] E [variant prime] [/superscript] × [superscript] S [variant prime] [/superscript] ) was significantly higher in Group 1 ( 4.1 ± 1.9 versus 1.65 ± 1.32 , p = 0.001 ). The optimal cutoff value for E / ( [superscript] E [variant prime] [/superscript] × [superscript] S [variant prime] [/superscript] ) ratio was 2.34 with 87.0% sensitivity and 82.1% specificity. Conclusion. Septal E / ( [superscript] E [variant prime] [/superscript] × [superscript] S [variant prime] [/superscript] ) values measured after the acute anterior myocardial infarction can strongly predict LV remodeling in the 6-month follow-up. In the risk assessment, the septal E / ( [superscript] E [variant prime] [/superscript] × [superscript] S [variant prime] [/superscript] ) can be evaluated together with the conventional echocardiographic techniques.

Details

Title
Assessment of the Utility of the Septal E / ( E [variant prime] × S [variant prime] ) Ratio and Tissue Doppler Index in Predicting Left Ventricular Remodeling after Acute Myocardial Infarction
Author
Selma Kenar Tiryakioglu; Ozkan, Hakan; Hasan, Ari; Kivanc Yalin; Coskun, Senol; Tiryakioglu, Osman
Publication year
2016
Publication date
2016
Publisher
John Wiley & Sons, Inc.
ISSN
23146133
e-ISSN
23146141
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
1822949722
Copyright
Copyright © 2016 Selma Kenar Tiryakioglu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.