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Updated: Nov 25, 2025

Transthoracic Speckle Tracking Echocardiography for the Quantitative Assessment of Left Ventricular Myocardial Deformation
Published on: October 20, 2016
Copeptin levels predict left ventricular systolic function in STEMI patients: A 2D speckle tracking
Hilal Erken Pamukcu1, Mehmet Ali Felekoğlu1, Engin Algül2
1Department of Cardiology, University of Health Sciences Dişkapi Yildirim Beyazit Training and Research Hospital, Ankara.
Insights
Admission copeptin levels predict left ventricle (LV) systolic function in ST-segment elevation myocardial infarction (STEMI) patients. Higher copeptin correlates with poorer LV systolic function and less improvement over six months.
Area of Science:
- Cardiology
- Biomarkers
- Echocardiography
Background:
- ST-segment elevation myocardial infarction (STEMI) poses significant risks to left ventricle (LV) systolic function.
- Early identification of patients at risk for impaired LV function is crucial for timely intervention.
- Copeptin, a marker of stress, has been investigated for its prognostic value in cardiovascular diseases.
Purpose of the Study:
- To investigate the association between admission copeptin levels and LV systolic function in STEMI patients.
- To assess the relationship between copeptin and the improvement of LV systolic function at 6-month follow-up.
- To determine if copeptin can predict early and long-term LV systolic function in STEMI.
Main Methods:
- A prospective observational study included 122 STEMI patients.
- LV systolic function was assessed using global longitudinal strain (GLS) and conventional echocardiography on admission and at 6 months.
- Serum copeptin levels were measured using an ultrasensitive immunofluorescence assay.
Main Results:
- Patients with high admission copeptin levels showed significantly lower GLS at both early stage and 6 months compared to those with low copeptin.
- Copeptin levels were negatively correlated with early and 6-month GLS.
- Admission copeptin levels were also negatively correlated with the improvement of GLS at 6-month follow-up.
Conclusions:
- Admission serum copeptin levels can predict early and 6-month LV systolic function in STEMI patients, as assessed by GLS.
- This study is the first to specifically link copeptin values with GLS in the context of STEMI.
- Copeptin may serve as a valuable biomarker for assessing LV systolic function and recovery post-STEMI.
Abstract:
In the present study, we aimed to investigate whether copeptin values on admission are related to left ventricle (LV) systolic function and its improvement at 6 months in ST-segment elevation myocardial infarction (STEMI) patients.In this single-center, prospective observational study, we included 122 STEMI patients from January 2016 to November 2016. LV systolic functions in the form of global longitudinal strain (GLS) in addition to conventional echocardiography parameters were evaluated on admission and at 6-month. Serum copeptin levels were determined using an ultrasensitive immunofluorescence assay.The study population was divided into 2 groups according to median values of copeptin. GLS was significantly lower in patients with high copeptin levels compared to those with low copeptin levels at early stage and 6-month (-16% (16-16.5) vs -15% (15-15.5), P < .001 and -18% (18-19) vs -16% (16-16.25), P < .001, respectively). Copeptin values were negatively correlated with an early and 6-month GLS (r = -0.459 at early stage and r = -0.662 at 6-month). In addition, we observed that copeptin values were negatively correlated with the improvement of GLS at 6-month follow-up (r = -0.458, P < .001 and r = -0.357, P = .005, respectively).Serum copeptin levels in STEMI patients at the time of admission may predict early and 6-month LV systolic function assessed by two-dimensional GLS. To the best of our knowledge, this study is the first to specifically address the relationship between copeptin values and GLS in STEMI patients.
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