Multilayer longitudinal strain can help predict the development of no-reflow in patients with acute coronary syndrome without ST elevation.
No-reflow (NR) is one of the major complications of primary percutaneous coronary intervention (PCI) in patients with non-ST-segment elevation myocardial infarction (NSTEMI). We aim to assess the value of multilayer longitudinal strain parameter to predict NR in patients with NSTEMI and preserved ej...
| Publicado en: | International Journal of Cardiovascular Imaging Vol. 35; no. 10; pp. 1811 - 1822 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Oct2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138910786&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 138910786 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15695794 1HHY jtl: International Journal of Cardiovascular Imaging issn: 15695794 maglogo: N pubinfo: dt: Oct2019 vid: 35 iid: 10 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 138910786 138910786 143972657 NLM31093895 10.1007/s10554-019-01623-8 NLM31093895 138910786 ppf: 1811 ppct: 11 formats: tig: atl: Multilayer longitudinal strain can help predict the development of no-reflow in patients with acute coronary syndrome without ST elevation. aug: au: Atıcı, Adem Barman, Hasan Ali Erturk, Emre Baycan, Omer Faruk Fidan, Serdar Demirel, Koray Celal Asoglu, Ramazan Demir, Koray Ozturk, Fatih Elitok, Ali Okuyan, Erugrul Sahin, Irfan affil: Cardiology Department, İstanbul Gaziosmanpasa Taksim Training and Research Hospital, Osmanbey Caddesi, 621 Sokak, Gaziosmanpaşa, Istanbul, Turkey sug: subj: Coronary Stenosis Therapy Echocardiography, Doppler, Pulsed Cardiovascular Care Adverse Effects Ventricular Function, Left Acute Coronary Syndrome Therapy Risk Factors Middle Age Acute Coronary Syndrome Female Predictive Value of Tests Treatment Outcomes Reproducibility of Results Male Coronary Stenosis Physiopathology Adult Coronary Stenosis Severity of Illness Indices Acute Coronary Syndrome Physiopathology Middle Aged: 45-64 years Adult: 19-44 years Female Male ab: No-reflow (NR) is one of the major complications of primary percutaneous coronary intervention (PCI) in patients with non-ST-segment elevation myocardial infarction (NSTEMI). We aim to assess the value of multilayer longitudinal strain parameter to predict NR in patients with NSTEMI and preserved ejection fraction. 230 consecutive patients who were admitted to the emergency department and diagnosed with NSTEMI were prospectively included in this study. Echocardiography was performed 1 h before angiography. Specific analysis for endocardial, mid-myocardial and epicardial layers were performed by two-dimensional (2D) speckle tracking echocardiography (STE) for multilayer longitudinal strain. NR was described as flow grade of ≤ TIMI 2 when mechanical occlusions like dissection, intimal tear, arterial spasm and thromboembolism during angiography were excluded. 49 of 168 patients admitted to the study had NR. No significant differences were observed between the groups regarding age and gender. Multilayer longitudinal strain imaging (endocard, midmyocard and epicard) revealed lower strain values particularly in endocardial layer in patients with NR (GLS-endocard: - 14.14 ± 1.39/- 17.41 ± 2.34, p < 0.001; GLS-midmyocard: - 14.81 ± 1.40/17.81 ± 2.22, p < 0.001; GLS-epicard: - 16.14 ± 1.38/18.22 ± 2.00, p < 0.001). GLS-endocard, GLS-midmyocard, GLS-epicard and ST depression were found to be statistically significant independents parameters respectively to predict NR phenomenon (GLS-endocard: OR: 2.193, p < 0.001; GLS-midmyocard: OR: 1.510, p: 0.016; GLS-epicard: OR: 1.372, p: 0.035; ST depression: OR: 3.694, p: 0.014). We revealed that left ventricular strain study with speckle tracking echocardiography predicts NR formation. This noninvasive method may be useful for detecting NR formation in patients with NSTEMI. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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