Alteration in the global and regional myocardial strain patterns in patients with inferior ST-elevation myocardial infarction prior to and after percutaneous coronary intervention

This study was designed to investigate the alteration on regional and global strains of left and right ventricle (LV, RV) in patients with inferior wall ST-elevation myocardial infarction (MI). Patients were examined prior to and 7 days after percutaneous coronary intervention (PCI) using speckle-tr...

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Main Authors: Chen-Fang Song, Qing Zhou, Rui-Qiang Guo
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Kaohsiung Journal of Medical Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1607551X13001563
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author Chen-Fang Song
Qing Zhou
Rui-Qiang Guo
author_facet Chen-Fang Song
Qing Zhou
Rui-Qiang Guo
author_sort Chen-Fang Song
collection DOAJ
description This study was designed to investigate the alteration on regional and global strains of left and right ventricle (LV, RV) in patients with inferior wall ST-elevation myocardial infarction (MI). Patients were examined prior to and 7 days after percutaneous coronary intervention (PCI) using speckle-tracking techniques. Fifty-nine patients (36 males and 23 females) and 60 healthy controls (40 males and 20 females) were enrolled in this study. LV strains were measured from three deformations including radial, longitudinal, and circumferential. RV strains were measured only from the longitudinal. Three types of LV global strains were significantly lower in patients than in controls, and LV global longitudinal and circumferential strains were moderately improved by PCI. The LV regional strains reduced significantly in most of the segments (87%) after inferior wall MI and over half of them (60%) were improved by PCI. The RV global longitudinal strains were significantly lower in patients than in controls, and they were moderately improved by PCI. In conclusion, the regional and global strains of LV and RV were reduced in patients with inferior wall MI, and PCI most markedly improved the global strains and regional strains of the infarct and adjacent myocardium in the apical and middle levels.
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spelling doaj.art-b1fc24d9d92a4f35b12d65d4e9bebcb12022-12-22T00:51:22ZengWileyKaohsiung Journal of Medical Sciences1607-551X2014-01-01301293410.1016/j.kjms.2013.04.005Alteration in the global and regional myocardial strain patterns in patients with inferior ST-elevation myocardial infarction prior to and after percutaneous coronary interventionChen-Fang SongQing ZhouRui-Qiang GuoThis study was designed to investigate the alteration on regional and global strains of left and right ventricle (LV, RV) in patients with inferior wall ST-elevation myocardial infarction (MI). Patients were examined prior to and 7 days after percutaneous coronary intervention (PCI) using speckle-tracking techniques. Fifty-nine patients (36 males and 23 females) and 60 healthy controls (40 males and 20 females) were enrolled in this study. LV strains were measured from three deformations including radial, longitudinal, and circumferential. RV strains were measured only from the longitudinal. Three types of LV global strains were significantly lower in patients than in controls, and LV global longitudinal and circumferential strains were moderately improved by PCI. The LV regional strains reduced significantly in most of the segments (87%) after inferior wall MI and over half of them (60%) were improved by PCI. The RV global longitudinal strains were significantly lower in patients than in controls, and they were moderately improved by PCI. In conclusion, the regional and global strains of LV and RV were reduced in patients with inferior wall MI, and PCI most markedly improved the global strains and regional strains of the infarct and adjacent myocardium in the apical and middle levels.http://www.sciencedirect.com/science/article/pii/S1607551X13001563EchocardiographyInferior wall myocardial infarctionPercutaneous coronary interventionStrain
spellingShingle Chen-Fang Song
Qing Zhou
Rui-Qiang Guo
Alteration in the global and regional myocardial strain patterns in patients with inferior ST-elevation myocardial infarction prior to and after percutaneous coronary intervention
Kaohsiung Journal of Medical Sciences
Echocardiography
Inferior wall myocardial infarction
Percutaneous coronary intervention
Strain
title Alteration in the global and regional myocardial strain patterns in patients with inferior ST-elevation myocardial infarction prior to and after percutaneous coronary intervention
title_full Alteration in the global and regional myocardial strain patterns in patients with inferior ST-elevation myocardial infarction prior to and after percutaneous coronary intervention
title_fullStr Alteration in the global and regional myocardial strain patterns in patients with inferior ST-elevation myocardial infarction prior to and after percutaneous coronary intervention
title_full_unstemmed Alteration in the global and regional myocardial strain patterns in patients with inferior ST-elevation myocardial infarction prior to and after percutaneous coronary intervention
title_short Alteration in the global and regional myocardial strain patterns in patients with inferior ST-elevation myocardial infarction prior to and after percutaneous coronary intervention
title_sort alteration in the global and regional myocardial strain patterns in patients with inferior st elevation myocardial infarction prior to and after percutaneous coronary intervention
topic Echocardiography
Inferior wall myocardial infarction
Percutaneous coronary intervention
Strain
url http://www.sciencedirect.com/science/article/pii/S1607551X13001563
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AT qingzhou alterationintheglobalandregionalmyocardialstrainpatternsinpatientswithinferiorstelevationmyocardialinfarctionpriortoandafterpercutaneouscoronaryintervention
AT ruiqiangguo alterationintheglobalandregionalmyocardialstrainpatternsinpatientswithinferiorstelevationmyocardialinfarctionpriortoandafterpercutaneouscoronaryintervention