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The impact of right ventricular function assessed by 2-dimensional speckle tracking echocardiography on early mortality in patients with inferior myocardial infarction

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dc.contributor.authorÇİNÇİN, AHMET ALTUĞ
dc.contributor.authorsKanar, Batur G.; Tigen, Mustafa K.; Sunbul, Murat; Cincin, Altug; Atas, Halil; Kepez, Alper; Ozben, Beste
dc.date.accessioned2022-03-14T08:35:39Z
dc.date.available2022-03-14T08:35:39Z
dc.date.issued2018-03
dc.description.abstractBackgroundRight ventricular (RV) involvement in inferior myocardial infarction (MI) increases in-hospital morbidity and mortality. HypothesisRV systolic dysfunction assessed by 2-dimensional speckle tracking echocardiography (STE) might be a predictor of early mortality in patients with acute inferior MI. MethodsEighty-one consecutive patients with acute inferior MI (mean age, 60.812.7years; 18 females) were included. RV myocardial involvement was defined as an elevation >1mm in V-1 or V4R within 12hours of symptom onset. RV function was assessed by STE. Patients were followed for 30days for all-cause mortality. ResultsThirty-eight patients had RV myocardial involvement, and they had significantly lower tricuspid annular plane systolic excursion (TAPSE), tricuspid annular systolic velocity (RVS), and left ventricular (LV) and RV global longitudinal strain (GLS). Nine patients (11%) died within 30days. The mean age of mortality group was higher with more female frequency. They had significantly higher pro-BNP, hs-troponin T, and creatinine levels, but lower hemoglobin levels. TIMI 3 flow was significantly less achieved in mortality group. RV myocardial involvement was more frequent in the mortality group, and they had significantly lower TAPSE, RVS, and LV and RV GLS. Multivariate analysis revealed that age and RV GLS were independent predictors of early mortality. RV GLS -14% predicted early mortality in patients with acute inferior MI with a sensitivity of 88.9% and a specificity of 62.5% (AUC: 0.817, P =0.002). ConclusionsRV GLS may be useful in predicting early mortality in patients with acute inferior MI.
dc.identifier.doi10.1002/clc.22890
dc.identifier.eissn1932-8737
dc.identifier.issn0160-9289
dc.identifier.pubmed29577346
dc.identifier.urihttps://hdl.handle.net/11424/242022
dc.identifier.wosWOS:000428846300023
dc.language.isoeng
dc.publisherWILEY
dc.relation.ispartofCLINICAL CARDIOLOGY
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectInferior Myocardial Infarction
dc.subjectMortality
dc.subjectRight Ventricular Function
dc.subjectSpeckle Tracking Echocardiography
dc.subjectST-SEGMENT ELEVATION
dc.subjectHEART-FAILURE
dc.subjectINVOLVEMENT
dc.subjectSTRAIN
dc.subjectPATHOPHYSIOLOGY
dc.subjectDYSSYNCHRONY
dc.subjectDISEASE
dc.titleThe impact of right ventricular function assessed by 2-dimensional speckle tracking echocardiography on early mortality in patients with inferior myocardial infarction
dc.typearticle
dspace.entity.typePublication
local.avesis.id9c4f6d1f-34db-413f-bbf9-6201d6fd094b
local.import.packageSS16
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages6
local.journal.quartileQ2
oaire.citation.endPage418
oaire.citation.issue3
oaire.citation.startPage413
oaire.citation.titleCLINICAL CARDIOLOGY
oaire.citation.volume41
relation.isAuthorOfPublication54255a29-54c0-43de-8bc5-39d805d1296a
relation.isAuthorOfPublication.latestForDiscovery54255a29-54c0-43de-8bc5-39d805d1296a

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