%0 Journal Article
%T Ratio E/E' and culprit artery predict ventricular remodeling after STEMI.
%A Aceves Chimal JL4
%A Garc£¿-a-Garc£¿-a JF1
%A Merino-Rajme JA1
%A Morales-
Portano JD1
%A Muratalla-Gonz£¿£¿lez R1
%A Van Der Harst P3
%A Zaldivar-Fujigaki JL2
%J -
%D 2017
%X Background: ST-Elevation Myocardial Infarction (STEMI) is one of the most severe manifestations of atherosclerosis; prognosis is determined by remaining left ventricular function and the importance of systolic function has been well established. The aim of this study was to determine the E/E¡¯ ratio, to predict the adverse ventricular remodeling (VR) in patients presenting with STEMI. Methods: From March 2011 to January 2012 we prospectively enrolled patients presenting with STEMI in the admission unit. Echocardiography was performed at presentation and 6 months after STEMI. VR was defined as the increase ¡Ý 20% of the left ventricular end diastolic volume. Uni and multivariate linear regression analyses were conducted. Results: Sixty-six STEMI patients (60.8 ¡À 10.3 years, 81% male) were recruited. In 56% the culprit artery was left anterior descending (LAD), right coronary artery in 39% and circumflex in 5%. VR was predicted by LAD as culprit artery (92%, p<0.001, rho 0.528), Septal E¡¯ Velocity (p<0.001, rho 0.370) and the ratio E/E¡¯ (p<0.001, -0.663). Six months after the STEMI patients with VR had lower left ventricular ejection fraction, and higher end systolic and diastolic volume. ROC analysis suggested an optimal cutoff for a E/E' ratio of ¡Ý 12 (S:91%, E:77%) at baseline to predict adverse VR. Multivariate analysis showed that the ratio E/E¡¯, septal E¡ä velocity, culprit artery, and Killip Kimbal classification were predictors of adverse VR after STEMI (rho 0.750). Conclusion: E/E¡ä ratio ¡Ý 12 and LAD as the culprit artery are important predictors for adverse ventricular remodeling and should be considered for early medical treatment
%K Ventricular remodeling
%K Ratio E/E£¿¡é£¿£¿£¿£¿
%K Prognostic parameter
%K STEMI.
%U https://www.alliedacademies.org/articles/ratio-ee-and-culprit-artery-predict-ventricular-remodeling-after-stemi-9050.html