Copyright
©The Author(s) 2015.
World J Cardiol. Dec 26, 2015; 7(12): 948-960
Published online Dec 26, 2015. doi: 10.4330/wjc.v7.i12.948
Published online Dec 26, 2015. doi: 10.4330/wjc.v7.i12.948
Table 4 All studies that have used speckle-tracking echocardiography-based strain to predict adverse left ventricular remodelling
| Ref. | Age (yr) | Sample size (male) | Baseline ejection fraction (%) | Timeframe baseline scan | Timeframe follow-up scan(s) | Definition of adverse remodelling | Other parameters in multivariate model | Results | Limitations |
| Bochenek et al[70] | 59.6 ± 10.3 | 66 (53) | 49.7 ± 9.2 | 4-6 d post-infarct | 3 mo | EDV > 20% | Diabetes | 22 patients remodelled; GLS can predict LV remodelling - OR = 1.19 (1.04-1.37), P < 0.05 - shown by multivariate analysis GLS > -12.5% can predict remodelling - AUC = 0.77 for ROC, sensitivity/specificity of 69%/79% respectively | Only longitudinal strain measured. Too many variables in multivariate analysis |
| Anterior MI | |||||||||
| Leuk. Count | |||||||||
| Time to reperfusion | |||||||||
| WMSI | |||||||||
| Max. Trop | |||||||||
| ST-elevation max pre-PCI | |||||||||
| Joyce et al[74] | 60 ± 12 | 1041 (792) | 47.0 ± 9.0 | 2 d post-PPCI | 3 and 6 mo | EDV ≥ 20% | Male sex | GLS > -15% can predict remodelling at 3 and 6 mo vs GLS < -15% (both P < 0.001): OR = 6.7 (2.8-11) for 3 mo; OR = 10 (6.7-14) for 6 mo | Only longitudinal strain measured; Prognostic data divided categorically - i.e., GLS > -15% or < -15%; Excluded patients with re-infarction before follow-up and cardiogenic shock - could potentially have been used as another endpoint |
| LAD infarct | |||||||||
| Max. Trop | |||||||||
| Discharge heart rate | |||||||||
| LA volume index | |||||||||
| WMSI | |||||||||
| Cong et al[71] | 59.9 ± 11.6 | 127 (103) | 51.8 ± 5.1 | 1 d post-PPCI | 6-9 mo | ESV ≥ 15% | Anterior MI | 41 patients developed remodelling; GLS predicted remodelling - OR = 0.39 (0.26-0.57), P < 0.01; GLS = -10.85% had sensitivity/specificity of 89.7%/91.7% respectively by ROC to predict remodelling | Only longitudinal strain measured; Too many variables in the multivariate analysis |
| Time to reperfusion | |||||||||
| ∑ST before PPCI | |||||||||
| ∑ST post-PPCI | |||||||||
| Raised CK-MB/Trops | |||||||||
| Baseline ESV/EF | |||||||||
| WMSI |
- Citation: Shetye A, Nazir SA, Squire IB, McCann GP. Global myocardial strain assessment by different imaging modalities to predict outcomes after ST-elevation myocardial infarction: A systematic review. World J Cardiol 2015; 7(12): 948-960
- URL: https://www.wjgnet.com/1949-8462/full/v7/i12/948.htm
- DOI: https://dx.doi.org/10.4330/wjc.v7.i12.948