International Journal of General Medicine (Feb 2022)

Comprehensive Assessment of the Left Ventricular Systolic Function in the Elderly with Acute Myocardial Infarction Using Echocardiography

  • Huang X,
  • Liu Y,
  • Guan B,
  • Yang W,
  • Sun S,
  • Luo J,
  • Luo Y,
  • Cao J,
  • Deng Y

Journal volume & issue
Vol. Volume 15
pp. 1437 – 1445

Abstract

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Xin Huang,1,* Yuan Liu,2,* Bo Guan,1 Wenyi Yang,1 Shasha Sun,1 Jiakun Luo,1 Yukun Luo,3 Jian Cao,1 Yujiao Deng3 1Department of Cardiology, The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, 100853, People’s Republic of China; 2Department of Emergency, The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, 100853, People’s Republic of China; 3Department of Ultrasound, The First Medical Center of Chinese PLA General Hospital, Beijing, 100853, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yujiao Deng, Department of Ultrasound, The First Medical Center of Chinese PLA General Hospital, Beijing, 100853, People’s Republic of China, Email [email protected] Jian Cao, Department of Cardiology, The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, 100853, People’s Republic of China, Email [email protected]: To evaluate the left ventricular (LV) systolic function in elderly with non-ST elevation myocardial infarction (NSTEMI) and ST elevation myocardial infarction (STEMI) using real-time three-dimensional echocardiography (RT-3DE) and two-dimensional speckle tracking imaging (STI).Methods: Forty NSTEMI and forty STEMI patients after undergoing percutaneous coronary artery intervention (PCI) were enrolled. The myocardial segments were supplied by the infarct-related artery (Myo-IRA) which were indicated by the selective coronary arteriography (SCA). The LV end-diastolic volume (LVEDV), end-systolic volume (LVESV), stroke volume (LVSV) and ejection fraction (LVEF) were acquired by 4D LV Volume Tom Tec. LV longitudinal peak systolic strain (LPSS), radial peak systolic strain (RPSS), circumferential peak systolic strain (CPSS) of Myo-IRA segments, LV rotational peak degree in the base (rot-base) and in the apex (rot-apex), and twist were acquired by strain analysis software. Forty older healthy individuals were included as normal controls.Results: The LVEF of the NSTEMI and STEMI patients at 1 week after PCI were significantly lower (P 0.05), but were still significantly lower than those in the controls (P< 0.05).Conclusion: RT-3DE and STI can sensitively assess LV systolic function with different extents of transmural damage.Keywords: echocardiography, acute myocardial infarction, left ventricular systolic function, elderly

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