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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Early Prediction of Ventricular Functional Recovery after Myocardial Infarction by Longitudinal Strain Study

Subhashis Chakraborty, Soumendu Biswas, Hema Malathi Rath, Biva Bhakat, Prantik Bhattacharya and Debarshi Jana
Page: 928-932 | Received 07 Aug 2023, Published online: 17 Aug 2023

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https://doi.org/10.36478/10.59218\makrjms.2023.928.932

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Abstract

According to certain hypotheses, global myocardial strain (GLS) early after ST-elevation myocardial infarction (STEMI) may be a predictor of improvement in left ventricular ejection fraction (LVEF). To evaluate Based on GLS values, LV recovery following STEMI intervention. The study population consists of 100 patients with acute STEMI and no prior coronary intervention who received primary percutaneous coronary intervention. Transthoracic echocardiography and the speckle tracking method were used to assess LVEF and myocardial strain indices 48 hours and two months following STEMI. A 5% increase in LVEF was judged substantial. Patients whose LVEF had improved by more than 10% two months after their STEMI had substantially higher GLS values (GLS = 25.66% in patients whose LVEF had improved by more than 10% vs. 21.64% in the other group, p<0.05). Following STEMI, significant LVEF improvement was predicted by ROC analysis to be associated with GLS values greater than 23.5Patients with inferior, posterior and inferoseptal STEMI had higher GLS compared to patients with anterior, extensive, or anteroseptal STEMI, as did patients with right coronary occlusion vs blockage of the left anterior descending or circumflex arteries. We have found that the early longitudinal LV strain following STEMI is a predictor of recovery. This technique is beneficial for predicting rapid LV recovery following STEMI. A major predictor of LVEF improvement is a GLS value higher than 23.5%.

How to cite this article:

Subhashis Chakraborty, Soumendu Biswas, Hema Malathi Rath, Biva Bhakat, Prantik Bhattacharya and Debarshi Jana. Early Prediction of Ventricular Functional Recovery after Myocardial Infarction by Longitudinal Strain Study.
DOI: https://doi.org/10.36478/10.59218\makrjms.2023.928.932
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218\makrjms.2023.928.932