Echocardiographic Parameters Predict Short- and Long-Term Adverse Cardiovascular Events in Patients with Acute Myocardial Infarction

Han, Mengmeng; Zhao, Wenshu; Wang, Xin; He, Shan; Xu, Xiaorong; Dang, Cai-Jing; Zhang, Juan; Liu, Jiamei; Chen, Mulei; Xu, Lin; Wang, Hua

doi:10.2147/ijgm.s304449

Cited by 12 publications

(9 citation statements)

References 19 publications

(25 reference statements)

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“…When coronary artery lesions were divided into the culprit lesions of AMI and the non-AMI lesions, the clinical outcomes following PCI were worse in the culprit lesions of AMI than in the non-AMI lesions 3,4) . However, since the clinical outcomes vary widely among the culprit lesions of AMI 5) , a simple risk marker would be needed to stratify long-term outcomes following PCI to the culprit lesions of AMI. Although there are several risk markers regarding the clinical outcomes of patients with AMI 6,7) , simple risk markers that were derived from coronary angiography (CAG) have not been fully proposed.…”

Section: Introductionmentioning

confidence: 99%

Angiographic Coronary Calcification: A Simple Predictor of Long-Term Clinical Outcomes in Patients with Acute Myocardial Infarction

Ishibashi

Sakakura

Asada

et al. 2023

JAT

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Aims: Coronary calcification detected by coronary angiography is a simple risk marker for long-term clinical outcomes in stable coronary artery disease. However, the significance of angiographic coronary calcification in the culprit lesion of acute myocardial infarction (AMI) has not been fully discussed. The purpose of this retrospective study was to assess the usefulness of angiographic coronary calcification as a risk marker for longterm clinical outcomes following percutaneous coronary intervention to the culprit lesions of AMI. Methods:We included 1209 patients with AMI and divided them into the none-mild calcification group (n=923) and the moderate-severe calcification group (n=286) according to angiographic coronary calcification in the culprit lesion of AMI. The primary endpoint was the occurrence of major adverse cardiac events (MACE), which was defined as a composite of all-cause death, nonfatal MI, readmission for heart failure, and ischemiadriven target vessel revascularization. Results: The median follow-up duration was 542 (Q1: 182, Q3: 990) days. A total of 345 MACE were observed during the study period. The occurrence of MACE was significantly greater in the moderate-severe calcification group than in the none-mild calcification group (43.4% vs. 23.9%, p＜0.001). In the multivariate Cox hazard model, moderate-severe calcification was significantly associated with MACE (hazard ratio 1.302, 95% confidence interval 1.011-1.677, p=0.041) after controlling multiple confounding factors. Conclusions: Angiographically moderate to severe calcification in AMI culprit lesion was associated with longterm worse clinical outcomes. Angiographic coronary calcification can be a simple risk marker in patients after AMI.

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Section: Introductionmentioning

confidence: 99%

Angiographic Coronary Calcification: A Simple Predictor of Long-Term Clinical Outcomes in Patients with Acute Myocardial Infarction

Ishibashi

Sakakura

Asada

et al. 2023

JAT

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“…On the other hand, previous studies have shown that the left ventricle wall motion score index (WMSI) is a reliable measure of reperfusion success in patients with acute STEMI (3)(4)(5) and could predict the short and long-term prognosis of these patients (6,7). Also, as a surrogate of infarct size, WMSI could be used for myocardial remodeling assessment even better than left ventricular ejection fraction (LVEF) (4).…”

Section: Introductionmentioning

confidence: 99%

Association of Left Ventricular Systolic Function with Diagonal Branch Flow in Patients with First Anterior ST-Elevation Myocardial Infarction Treated with Primary Angioplasty

Raadi

Javanshir

Salehi

et al. 2023

Int J Cardiovasc Pract

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Background: There are few studies about the impact of diagonal branch blood flow on echocardiographic findings in patients with first acute anterior myocardial infarction undergoing primary angioplasty. Objectives: We aimed to compare left ventricular systolic function measures in patients with first acute anterior ST-segment elevation myocardial infarction (STEMI) treated with primary angioplasty based on diagonal branch blood flow after the procedure. Methods: This study was a single-center study that enrolled patients with their first acute anterior STEMI treated with primary angioplasty in our center between October 2020 and March 2021. Patients were divided into two groups: The patients with final thrombolysis in myocardial infarction (TIMI) flow III in diagonal (sufficient diagonal flow) and patients with final TIMI flow less than III in diagonal (insufficient diagonal flow) after the procedure. The left ventricular Wall-Motion Score Index (WMSI) and left ventricular ejection fraction (LVEF) were compared between the two groups. Results: A total of 107 patients with first anterior STEMI treated with primary PCI were enrolled in the present study, of which 13 patients (12.1%) had insufficient diagonal flow after primary coronary angioplasty. The LVEF was lower in patients with insufficient diagonal flow (32.92 ± 7.29% vs. 39 ± 8.68%, P = 0.018). Also, this group had higher LV WMSI (1.68 ± 0.28 vs. 1.49 ± 0.26, P = 0.029). Conclusions: The present study showed that in patients with first acute anterior STEMI undergoing primary angioplasty, insufficient diagonal branch flow after the procedure was associated with worse left ventricular systolic function and higher LV WMSI.

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“…4 The measurement of MACEs in cases receiving revascularization has also benefited from the use of wall motion scores (WMSs). 5,6 Subsequent studies have assessed the relevance of the WMS in predicting MACEs in patients having PCI, and the degree of left ventricular function impairment has also been linked to unfavourable cardiovascular events. It is still not clear if using a measure that combines the WMS and SSII would help predict outcomes for people getting PCI because it has not been studied well.…”

Section: Introductionmentioning

confidence: 99%

“…It is still not clear if using a measure that combines the WMS and SSII would help predict outcomes for people getting PCI because it has not been studied well. 5,6 The left ventricle is separated into several segments in the 17-segment model, which is then used to compute the WMS in accordance with the advice of the American Society of Echocardiography. 7 Each segment's contractility is graded using the following system: Normal is number one, followed by hypokinesia, dyskinesia, akinesia, and ventricular aneurysm.…”

Section: Introductionmentioning

confidence: 99%

Echocardiographic Wall Motion Score in the Naive Patients of Non-ST Segment Elevation Acute Coronary Syndrome Regarding their Early Mortality

Memon¹,

Shah²,

Memon³

et al. 2022

PJMHS

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Objectives: To evaluate the association of echocardiographic wall motion score (WMS) with early mortality (30-days) among patients with non-ST-Segment Elevation Acute Coronary Syndrome (NSTE-ACS). Material and methods: This descriptive case series study was conducted at the cardiology department at LUMHS from October 2015 to March 2016. Patients with NSTE-ACS and positive cardiac biomarkers, patients older than 25 years, and both genders admitted to CCU were included. Standard indoor treatment was done in these patients. Evaluation of wall motion score was done by echocardiography by 2D echo. All patients were monitored for early cardiac event-related mortality (30 days). The self-made Performa logged all of the information gathered. SPSS version 26.0 was used to analyze all of the data. Results: In this study, a total of 148 cases of NSTE-ACS were studied. Most of the patients were aged more than 40 years, and males were in the majority 93(62.8%). Reginal wall motion was in 105(70.9%) of the cases. In 88(59.5%) of the cases, the ejection fraction was <40% and in 58(40.5%) of the cases it was >40%. CKMB was raised in 69(46.6%) of the cases, and troponin T was positive in all of the cases. The overall short-term mortality rate was 20.3%, which was significantly associated with a high grade of wall motion score (p-0.001). Conclusions: It was concluded that echocardiographic wall motion score was correlated significantly to short-term mortality (30-day) among new patients presented with NSTE-ACS. Keywords: Acute coronary syndrome, WMS, NSTE, early mortality

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Echocardiographic Parameters Predict Short- and Long-Term Adverse Cardiovascular Events in Patients with Acute Myocardial Infarction

Cited by 12 publications

References 19 publications

Angiographic Coronary Calcification: A Simple Predictor of Long-Term Clinical Outcomes in Patients with Acute Myocardial Infarction

Angiographic Coronary Calcification: A Simple Predictor of Long-Term Clinical Outcomes in Patients with Acute Myocardial Infarction

Association of Left Ventricular Systolic Function with Diagonal Branch Flow in Patients with First Anterior ST-Elevation Myocardial Infarction Treated with Primary Angioplasty

Echocardiographic Wall Motion Score in the Naive Patients of Non-ST Segment Elevation Acute Coronary Syndrome Regarding their Early Mortality

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