Post myocardial infarction assessment of left ventricular geometry by echocardiography

Abstract

BACKGROUND AND AIM: Left ventricular dilatation is a well recognized precursor of ventricular dysfunction and congestive heart failure after myocardial infarction. Present study is to evaluate the Left ventricular geometry and the determinants of L.V. geometry by M-mode Echocardiography in subjects after acute MI. METHOD: A hospital based prospective study was conducted at tertiary care center in Uttar Pradesh, India with a total of 30 patients including 17 Males and 13 Females having acute MI along with thorough General Examination / history taking and Demographic profile assessment. Detailed L.V. geometrical parameters were assessed by Echocardiography at lateral and septal sides of L.V. at the level of mitral annulus on 1st day of admission. Data was analyzed for males/females and calculations were done by using Microsoft Excel 2010 software. RESULTS: The geometrical parameters were compared and analysed. P value was calculated. P value<0.0001 gave highly significant results and <0.05 gave significant results. LVIDd(<0.05), LVIDs(<0.05), PWTd(<0.05), LVM(<0.05), LVMI(BSA)(<0.05), LVMI(Ht2.7)(<0.05), LVMI(g/m)(<0.05) were significant respectively. CONCLUSION: From the study, it can be concluded that the overall L.V. geometry was affected among Acute Myocardial Infarction patients.