Early prediction of ventricular functional recovery after myocardial infarction by longitudinal strain study

Vahid Eslami; Fariba Bayat; Bahare Asadzadeh; Elham Saffarian; Azin Gheymati; Elham Mahmoudi; Mohammad Reza Movahed

Early prediction of ventricular functional recovery after myocardial infarction by longitudinal strain study

Am J Cardiovasc Dis. 2021 Aug 15;11(4):471-477. eCollection 2021.

Authors

Vahid Eslami¹, Fariba Bayat¹, Bahare Asadzadeh¹, Elham Saffarian¹, Azin Gheymati², Elham Mahmoudi¹, Mohammad Reza Movahed^{3

4}

Affiliations

¹ Cardiovascular Research Center, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences Tehran, Iran.
² Clinical Pharmacy Department, Tehran University of Medical Sciences Tehran, Iran.
³ University of Arizona Phoenix, USA.
⁴ University of Arizona, Sarver Heart Center Tucson, AZ, USA.

PMID: 34548945
PMCID: PMC8449201

Abstract

Background: There are some suggestions that global myocardial strain (GLS) early after ST-elevation myocardial infarction (STEMI) is a predictor of improvement in left ventricular ejection fraction (LVEF). The goal of this study was to evaluate LV recovery after STEMI intervention based on GLS values.

Methods: The study population consists of 43 patients with acute STEMI and no history of prior coronary intervention treated with primary percutaneous coronary intervention. LVEF and myocardial strain indices were measured 48 hours and two months after STEMI by transthoracic echocardiography and speckle tracking method. More than 5% improvement in LVEF was considered significant.

Results: GLS values were significantly higher in patients with >5% improvement in LVEF 2 months after the STEMI (GLS=15.76% in patients with >5% improvement vs. 11.54% in the other group, P<0.05). ROC analysis suggested GLS values more than 13.5 to be a predictor of significant LVEF improvement 2 months after STEMI. Higher GLS was observed in patients with inferior, posterior and inferoseptal STEMI versus anterior, extensive or anteroseptal STEMI and in patients with right coronary occlusion versus occlusion of the left anterior descending or circumflex arteries.

Conclusion: We have observed that early longitudinal LV strain after STEMI is a predictor of recovery after STEMI. This is a useful method to predict early LV recovery after STEMI. GLS values of more than 13.5% are a significant predictor of significant LVEF improvement.

Keywords: Echocardiography; acute myocardial infarction; myocardial strain; percutaneous intervention; strain rate imaging; tissue and strain Doppler echocardiography.