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Rafla, S., Ayad, S., AbaYazid, R., Fouad, M. (2023). STRAIN IMAGING AS A MARKER OF LEFT VENTRICULAR REMODELING IN ANTERIOR ST-ELEVATION MYOCARDIAL INFARCTION PATIENTS MANAGED BY REVASCULARIZATION THERAPY. ALEXMED ePosters, 5(1), 3-4. doi: 10.21608/alexpo.2023.184948.1540
Samir Morkos Rafla; Sherif Wagdy Ayad; Rasha Mohammed AbaYazid; Marcelle Ayman Fouad. "STRAIN IMAGING AS A MARKER OF LEFT VENTRICULAR REMODELING IN ANTERIOR ST-ELEVATION MYOCARDIAL INFARCTION PATIENTS MANAGED BY REVASCULARIZATION THERAPY". ALEXMED ePosters, 5, 1, 2023, 3-4. doi: 10.21608/alexpo.2023.184948.1540
Rafla, S., Ayad, S., AbaYazid, R., Fouad, M. (2023). 'STRAIN IMAGING AS A MARKER OF LEFT VENTRICULAR REMODELING IN ANTERIOR ST-ELEVATION MYOCARDIAL INFARCTION PATIENTS MANAGED BY REVASCULARIZATION THERAPY', ALEXMED ePosters, 5(1), pp. 3-4. doi: 10.21608/alexpo.2023.184948.1540
Rafla, S., Ayad, S., AbaYazid, R., Fouad, M. STRAIN IMAGING AS A MARKER OF LEFT VENTRICULAR REMODELING IN ANTERIOR ST-ELEVATION MYOCARDIAL INFARCTION PATIENTS MANAGED BY REVASCULARIZATION THERAPY. ALEXMED ePosters, 2023; 5(1): 3-4. doi: 10.21608/alexpo.2023.184948.1540

STRAIN IMAGING AS A MARKER OF LEFT VENTRICULAR REMODELING IN ANTERIOR ST-ELEVATION MYOCARDIAL INFARCTION PATIENTS MANAGED BY REVASCULARIZATION THERAPY

Article 3, Volume 5, Issue 1, January 2023, Page 3-4  XML
Document Type: Preliminary preprint short reports of original research
DOI: 10.21608/alexpo.2023.184948.1540
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Authors
Samir Morkos Rafla1; Sherif Wagdy Ayad2; Rasha Mohammed AbaYazid1; Marcelle Ayman Fouad email 1
1Department of Cardiology and Angiology, Faculty of Medicine, Alexandria University, Egypt.
2Department of Cardiology and Angiology, Faculty of Medicine, University of Alexandria
Abstract
The most prevalent kind of heart disease is coronary heart disease. Smoking is the major risk factor for CAD in our country.Timely reperfusion is crucial to decrease the risk of heart failure in patients presenting with anterior STEMI. Several factors contribute to the risk of complications in patients with anterior STEMI, some of them are controllable.
AIM OF THE WORK:
This research aims to assess left ventricular global longitudinal strain as a predictor of ventricular remodeling and clinical outcomes in revascularized anterior STEMI patients.
SUBJECTS AND METHODS:
Prospective study of 50 patients who had anterior STEMI andwere managed by Primary percutaneous coronary intervention in the period between December 2020 to February 2022 in Alexandria university hospital. Trans-Thoracic Echocardiography was used to assess LVGLS at baseline and 6 months for follow-up.
RESULTS:
Patients were predominantly males (96 %), and (92 %) were smokers. BeforePPCI, LV ejection fraction was 47.21± 5.08% and GLS was -11.09± 3.31%. LV ejection fraction after 6 months of follow-up increased to 47.80± 9.15 % and the GLS improved to -12.74 ± 3.75 % in comparison to baseline.Predictors of MACCE were DM, Dyslipidemia, Increased duration of chest pain in hrs, decreased LVEF, decreased LVGLS, increased EDVI, and increased ESVI and TIMI flow I & II.The total incidence of MACCE was 26% at 6 months.
Keywords
LEFT VENTRICULAR REMODELING; GLS; ANTERIOR ST-ELEVATION MYOCARDIAL INFARCTION
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