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Value of Color Doppler Echocardiography for Predicting Heart Failure After Percutaneous Coronary Intervention in
Lingyun Ren1, Zehao Hu2, Zihui Huang1
1Department of Cardiology, The Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, People's Republic of China.
Insights
Color Doppler echocardiography effectively assesses ventricular remodeling and heart failure after percutaneous coronary intervention in acute myocardial infarction patients. This imaging technique provides a reliable reference for managing acute myocardial infarction.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Acute myocardial infarction (AMI) can lead to ventricular remodeling and heart failure (HF).
- Percutaneous coronary intervention (PCI) is a common treatment for AMI.
- Assessing post-PCI ventricular remodeling and HF is crucial for patient management.
Purpose of the Study:
- To evaluate the role of color Doppler echocardiography in assessing ventricular remodeling.
- To assess the diagnostic performance of color Doppler echocardiography for post-PCI heart failure in AMI patients.
Main Methods:
- Retrospective analysis of 81 AMI patients, divided into PCI (n=49) and non-PCI (n=32) groups.
- Follow-up for 6 months, measuring left ventricular dimensions and ejection fraction using echocardiography.
- Analysis of changes in left ventricular end-diastolic volume index (ΔLVEDVI) and prediction of HF using ROC curves.
Main Results:
- Patients undergoing PCI showed significantly lower ΔLVEDVI compared to the control group.
- Color Doppler echocardiography demonstrated excellent diagnostic performance for post-PCI HF.
- Number of coronary artery lesions, Gensini score, hypertension, and baseline echocardiography findings were independent risk factors for post-PCI HF.
Conclusions:
- Color Doppler echocardiography is highly effective in evaluating ventricular remodeling and post-PCI HF in AMI patients.
- This imaging modality offers a reliable reference for the clinical management of AMI.
Purpose:
To evaluate the role of color Doppler echocardiography in assessing ventricular remodeling and post-percutaneous coronary intervention (PCI) heart failure (HF) in patients with acute myocardial infarction (AMI).
Methods:
81 AMI patients admitted to our hospital were selected for retrospective analysis, including 49 patients who underwent PCI (research group, RG) and 32 patients who did not undergo PCI (control group, CG). Both groups of patients were followed up for 6 months. Left ventricular (LV) end-diastolic volume (LVEDV), LV end-diastolic dimension (LVEDD), LV end-diastolic dimension (LVESD) and LV ejection fraction (LVEF) were measured using a Philips iE33 ultrasound system. To assess ventricular remodeling dynamically, LVEDVI was additionally measured at 7 days (T2), 1 month (T3), and 6 months (T4) after treatment, and ΔLVEDVI was calculated as the difference between LVEDVI at each follow‑up time point and the baseline value at T1. Receiver operating characteristic (ROC) curve was used to analyze the sensitivity of LVEDD, LVESD and LVEF to predict HF. Multivariate logistic regression analysis was used to analyze the factors associated with HF progression.
Results:
Elevated ΔLVEDVI levels was observed in both cohorts at T2-T4 compared with the value at T1, with significantly lower ΔLVEDVI in the RG than in the CG at each time point (P<0.05). Among the 11 patients who developed post-PCI HF in the research group, significant increases in LVEDD and LVESD and a significant decrease in LVEF (P<0.05). Based on ROC analysis, color Doppler echocardiography demonstrated excellent diagnostic performance for post-PCI HF (P<0.05). The number of coronary artery lesions, Gensini score, hypertension, and color Doppler echocardiography results at T1 were independent risk factors for post-PCI HF (P<0.05).
Conclusion:
Color Doppler echocardiography demonstrated excellent performance in evaluating ventricular remodeling and post-PCI HF in AMI patients and may provide a reliable reference for future clinical management of AMI.
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