Value of Speckle-Tracking Echocardiography for Prediction of Left Ventricular Remodeling in Patients with ST-Elevation Myocardial Infarction Treated by Primary Percutaneous Intervention

Bochenek, Tomasz; Wita, Krystian; Tabor, Z.; Grabka, Marek; Krzych, Łukasz J.; Wróbel, Wojciech; Berger-Kucza, Adrianna; Elżbieciak, Marek; Doruchowska, Anika; Gluza, Maria Trusz

doi:10.1016/j.echo.2011.09.003

Cited by 56 publications

(58 citation statements)

References 28 publications

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“…The use of GLS most consistently detected the change in LV volume during follow-up among the different studies [14–16, 24, 25, 30–34, 36,37]. The determinant cut-off value of GLS for adverse remodeling ranged from -12.8% to -10.2% and from -13.7% to -9.5% for reverse modeling.…”

Section: Resultsmentioning

confidence: 89%

“…The determinant cut-off value of GLS for adverse remodeling ranged from -12.8% to -10.2% and from -13.7% to -9.5% for reverse modeling. In multivariate adjusted analysis, GLS provided significant incremental value over clinical and conventional echocardiographic variables in predicting global LV function improvement (C-statistic index) [29] or LV remodeling [16–18]. …”

Section: Resultsmentioning

confidence: 99%

“…Univariable OR with 2D GLS as explanatory variable and adverse remodeling as outcome were available in 4 studies [16, 17, 20, 22]. The meta-regression showed that the odds of adverse remodeling increased by more than 20% for each 1% increase in relative 2D GLS value (i.e.…”

Section: Resultsmentioning

confidence: 99%

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Prediction of Left Ventricular Remodeling after a Myocardial Infarction: Role of Myocardial Deformation: A Systematic Review and Meta-Analysis

Huttin

Coiro²,

Selton‐Suty

et al. 2016

PLoS ONE

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AimsLeft ventricular (LV) adverse or reverse remodeling after ST-segment elevation myocardial infarction (MI) is the best outcome to assess the benefit of revascularization. Speckle tracking echocardiography (STE) may accurately identify early deformation impairment, while also being predictive of LV remodeling during follow-up. This systematic analysis aimed to provide a comprehensive review of current findings on STE as a predictor of LV remodeling after MI.MethodsPubMed databases were searched through December 2014 to identify studies in adults targeting the association between LV remodeling and STE. Meta-regression was performed for longitudinal analysis.ResultsA total of 23 prospective studies (3066 patients) were found eligible. Eleven studies reported an association between STE and adverse remodeling and twelve studies with reverse remodeling. Using peak systolic longitudinal strain, the most accurate cut-off to predict adverse remodeling and reverse remodeling ranged from -12.8% to -10.2% and from -13.7% to -9.5%, respectively. In smaller studies, assessment of circumferential strain and torsion showed additive value in predicting remodeling. Meta-regression analysis revealed that longitudinal STE was associated with adverse remodeling (pooled univariable OR = 1.27, 1.17–1.38, p<0.001; pooled multivariable OR = 1.38, 1.13–1.70, p = 0.002) while pooled ORs of longitudinal STE only tended to predict reverse remodeling (pooled OR = 0.75, 0.54–1.06, p = 0.09).ConclusionsThis systematic review suggests that STE is associated with changes in LV volume or function regardless of underlying mechanisms and deformation direction. Meta-regression demonstrates a strong association between peak longitudinal systolic strain and adverse remodeling. Added STE predictive value over other clinical, biological and imaging variables remains to be proven.

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Section: Resultsmentioning

confidence: 89%

Section: Resultsmentioning

confidence: 99%

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Prediction of Left Ventricular Remodeling after a Myocardial Infarction: Role of Myocardial Deformation: A Systematic Review and Meta-Analysis

Huttin

Coiro²,

Selton‐Suty

et al. 2016

PLoS ONE

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“…Studies involving modern era patients with STEMI, which have demonstrated an association between LVGLS and LV remodeling, are limited by small numbers, variable LV remodeling definitions, and shorter follow-up periods. 27,28 The current evaluation considerably expands on previous studies by relating baseline LVGLS measurement in a large cohort of contemporary STEMI patients to accepted echocardiographic outcomes on systematic 3-and 6-month follow-up. Patients with LVGLS >−15% were significantly more likely to display pathological LV dilatation at both 3 and 6 months after STEMI.…”

Section: Lvgls and LV Remodelingmentioning

confidence: 87%

Association Between Left Ventricular Global Longitudinal Strain and Adverse Left Ventricular Dilatation After ST-Segment–Elevation Myocardial Infarction

Joyce

Hoogslag

Leong

et al. 2014

Circ: Cardiovascular Imaging

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Background-Myocardial infarct size is a major determinant of left ventricular (LV) remodeling after ST-segment-elevation myocardial infarction. We evaluated whether LV global longitudinal strain (GLS), proposed as a novel marker of infarct size, is associated with 3-and 6-month LV dilatation after ST-segment-elevation myocardial infarction. Methods and Results-In the first ST-segment-elevation myocardial infarction patients treated with primary percutaneous coronary intervention, baseline LVGLS was measured with 2-dimensional speckle-tracking echocardiography.Patients were dichotomized according to median value. The independent relationship between GLS groups and LV end-diastolic volume at 3 and 6 months (adjusted for clinical and echocardiographic variables) was assessed.

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“…for assessment of mechanical dyssynchrony [5], diagnosis relies on segment-based analysis of simple secondary measures such as "time to minimum systolic volume" calculated from the standard 16-segment LV model. In the realm of post-MI follow-up, RT3DE is also used in a "segmental" nature, with evaluation limited to differential volumetric measurements [6].…”

Section: Introductionmentioning

confidence: 99%

Level set-based tracking of the endocardium without a shape prior from 3D ultrasound images

Häme

Gamarnik

Parker

et al. 2012

2012 9th IEEE International Symposium on Biomedical Imaging (ISBI)

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A level set-based method for tracking the endocardium from 3D ultrasound images is presented. The tracking process is initialized by a manual delineation and performed automatically. The method does not use a shape prior model, removing the requirement of acquiring large sets of training data, and providing adaptivity for abnormal cases. At each image frame, the edge strength is estimated and locations with strong edges are used to compute the region-based surface deformation, which is then propagated to the rest of the image volume. The approach is evaluated with 10 sequences of canine subjects including 5 ischemic image sequences. The results show that the method performs with error values below the interobserver variability of manual segmentation, and is able to robustly follow the cardiac wall movement.

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Value of Speckle-Tracking Echocardiography for Prediction of Left Ventricular Remodeling in Patients with ST-Elevation Myocardial Infarction Treated by Primary Percutaneous Intervention

Cited by 56 publications

References 28 publications

Prediction of Left Ventricular Remodeling after a Myocardial Infarction: Role of Myocardial Deformation: A Systematic Review and Meta-Analysis

Prediction of Left Ventricular Remodeling after a Myocardial Infarction: Role of Myocardial Deformation: A Systematic Review and Meta-Analysis

Association Between Left Ventricular Global Longitudinal Strain and Adverse Left Ventricular Dilatation After ST-Segment–Elevation Myocardial Infarction

Level set-based tracking of the endocardium without a shape prior from 3D ultrasound images

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