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

Meng-Meng Han1, Wen-Shu Zhao2, Xin Wang2

  • 1Intensive Care Units, Beijing Longfu Hospital, Beijing, 100010, People's Republic of China.

International Journal of General Medicine
|June 11, 2021
PubMed

Insights

Echocardiography can predict adverse cardiovascular events after acute myocardial infarction. Left ventricular ejection fraction (LVEF) predicts short-term outcomes, while wall motion score index (WMSI) and E/E' ratio predict long-term outcomes.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Predictive Analytics

Background:

  • Acute myocardial infarction (AMI) poses significant risks for adverse cardiovascular events.
  • Early identification of high-risk patients is crucial for effective management.
  • Echocardiography is a key diagnostic tool in cardiology.

Purpose of the Study:

  • To identify echocardiographic parameters predicting short- and long-term adverse cardiovascular events in AMI patients.
  • To evaluate the prognostic value of specific echocardiographic indices.

Main Methods:

  • 126 AMI patients underwent echocardiography within 12 hours of admission.
  • Follow-up was conducted for up to 5 years to record major adverse cardiovascular events (MACEs).
  • Statistical analysis included logistic regression and area under the curve (AUC) calculations.

Main Results:

  • Left ventricular ejection fraction (LVEF) < 40% predicted 1-year MACEs (AUC=0.676).
  • For 5-year MACEs, E/E' ratio > 15 (AUC=0.691) and wall motion score index (WMSI) > 1.5 (AUC=0.691) were significant predictors.
  • These echocardiographic parameters demonstrated significant predictive capabilities for cardiovascular events.

Conclusions:

  • LVEF is a valuable predictor of short-term outcomes (1-year) post-AMI.
  • WMSI and E/E' ratio are effective in predicting long-term outcomes (5-year) in AMI patients.
  • Echocardiography provides essential prognostic information for managing AMI patients.
Abstract

Keywords:
acute myocardial infarctioncardiovascular eventsechocardiographypredictorswall motion score index

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