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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.
Abstract

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