title: Assessment of the Utility of the SeptalE/(E' ×S') Ratio and Tissue Doppler Index in Predicting Left Ventricular Remodeling after Acute Myocardial Infarction.
abstract: Background. The aim of this study is to show whether the septalE/(E' ×S') 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. SeptalE/(E' ×S') 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/(E' ×S') was significantly higher in Group 1 (4.1 ± 1.9 versus 1.65 ± 1.32,p= 0.001). The optimal cutoff value forE/(E' ×S') ratio was 2.34 with 87.0% sensitivity and 82.1% specificity.Conclusion. SeptalE/(E' ×S') values measured after the acute anterior myocardial infarction can strongly predict LV remodeling in the 6-month follow-up. In the risk assessment, the septalE/(E' ×S') can be evaluated together with the conventional echocardiographic techniques.
authors.affiliation: Bursa State Hospital, Department of Cardiology, Bursa, Turkey.
authors.forename: Selma
authors.initials: S
authors.lastname: Kenar Tiryakioglu
authors.affiliation: Department of Cardiology, Faculty of Medicine, Bahcesehir University, Istanbul, Turkey.
authors.forename: Hakan
authors.identifier: 0000-0002-4887-5397
authors.initials: H
authors.lastname: Ozkan
authors.affiliation: Bursa Yuksek Ihtisas Education and Research Hospital, Department of Cardiology, Bursa, Turkey.
authors.forename: Hasan
authors.identifier: 0000-0002-9681-2374
authors.initials: H
authors.lastname: Ari
authors.affiliation: Bursa State Hospital, Department of Cardiology, Bursa, Turkey.
authors.forename: Kıvanc
authors.initials: K
authors.lastname: Yalin
authors.affiliation: Bursa State Hospital, Department of Cardiology, Bursa, Turkey.
authors.forename: Senol
authors.initials: S
authors.lastname: Coskun
authors.affiliation: Department of Cardiovascular Surgery, Faculty of Medicine, Bahcesehir University, 16110 Istanbul, Turkey.
authors.forename: Osman
authors.identifier: 0000-0001-8312-2465
authors.initials: O
authors.lastname: Tiryakioglu
mesh_terms: D015150:Echocardiography, Doppler; D005260:Female; D006346:Heart Septum / Q000000981:diagnostic imaging* / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000503:physiopathology*; D012372:ROC Curve; D020257:Ventricular Remodeling