1. Difference in the Prognostic Impact of Left Ventricular Global Longitudinal Strain between Anterior and Nonanterior Myocardial Infarction.
- Author
-
Jang, Se Yong, Yang, Dong Heon, Kim, Nam Kyun, Kim, Chang‐Yeon, Bae, Myung Hwan, Lee, Jang Hoon, Park, Hun Sik, Cho, Yongkeun, and Chae, Shung Chull
- Subjects
- *
ANALYSIS of covariance , *BIOMARKERS , *CHI-squared test , *COMPARATIVE studies , *CONFIDENCE intervals , *STATISTICAL correlation , *ECHOCARDIOGRAPHY , *LEFT heart ventricle , *HOSPITAL care , *MORTALITY , *MYOCARDIAL infarction , *PROBABILITY theory , *PROGNOSIS , *REGRESSION analysis , *SURVIVAL analysis (Biometry) , *T-test (Statistics) , *RETROSPECTIVE studies , *RECEIVER operating characteristic curves , *DATA analysis software , *DESCRIPTIVE statistics , *KAPLAN-Meier estimator , *LOG-rank test - Abstract
Background: Speckle tracking-derived global longitudinal strain (GLS) of left ventricle is a potent prognostic marker for patients with ST-segment elevation myocardial infarction (STEMI). The purpose of this study was to investigate the difference of prognostic impact of GLS between anterior and nonanterior myocardial infarction. Methods: This study included 686 patients who underwent primary percutaneous coronary intervention for their first STEMI between November 2007 and April 2012. Differences in the prognostic impact of GLS between anterior MI group and nonanterior MI group were evaluated. The composite of all-cause mortality and hospitalization for heart failure in 2 years was investigated for outcome. Results: During the follow-up period, 77 (11.2%) adverse events occurred. The anterior and nonanterior MI groups included 339 and 347 patients, respectively. Among patients with anterior MI, GLS significantly predicted 2-year outcome in an adjusted model (adjusted hazard ratio [HR] 1.186; 95% confidence interval [CI] 1.071-1.314, P = 0.001), whereas the association between GLS and mortality was weaker in the nonanterior MI group (adjusted HR 0.977; 95% CI 0.884-1.081, P = 0.657). The interaction between the infarction territory and GLS was significant (P for interaction = 0.018), indicating that GLS was a more sensitive predictor of mortality in patients with anterior MI than that in those with nonanterior MI. Conclusions: Speckle tracking-derived GLS of left ventricle more sensitively predicted clinical outcome in patients with anterior MI than in those with nonanterior MI. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF