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Erschienen in: The International Journal of Cardiovascular Imaging 3/2015

01.03.2015 | Original Paper

Assessment of right ventricular functional recovery after acute myocardial infarction by 2D speckle-tracking echocardiography

verfasst von: Olivier Huttin, Jérémie Lemarié, Marine Di Meglio, Nicolas Girerd, Damien Mandry, Frédéric Moulin, Simon Lemoine, Yves Juillière, Jacques Felblinger, Pierre-Yves Marie, Christine Selton-Suty

Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 3/2015

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Abstract

To assess the pattern of right ventricular (RV) functional recovery in a cohort of patients with successful reperfusion of a first episode of acute myocardial infarction (AMI) with 2D speckle-tracking echocardiography and cardiac magnetic resonance imaging (CMR). Ninety-five revascularized AMI patients were prospectively included (56.8 ± 11.1 years, 48 inferior, 47 anterior). RV function was assessed by echocardiography and CMR within the initial 72 h and 6 months later. A RV global strain was calculated while averaging strain values from septal, lateral and inferior walls. At the acute phase, RVEFCMR was lower in inferior than in anterior AMI patients (52.5 ± 6.8 vs. 56.0 ± 4.8, p = 0.006). Similarly, RV global, inferior and lateral strains were lower in inferior MI patients (p < 0.001 for all) whereas septal strain was not significantly different across groups. At 6 months, RVEFCMR and all strain parameters improved compared to baseline. Improvements were more substantial for patients with inferior than with anterior MI. RV parameters ultimately reached similar levels in the two groups at 6 months except for inferior strain which remained lower in patients with inferior MI (−24.5 ± 6.5 vs. −27.5 ± 5.4, p = 0.03). In low risk patients after AMI, RV function ultimately recovered over the 6 months of follow up. Higher levels of both initial impairment and subsequent recovery were observed for inferior MI. Although RV function was relatively preserved in these patients, RV strain analysis revealed a persistent impairment of RV inferior strain in patients with inferior MI, which may not be identified by RVEFCMR or conventional echocardiographic parameters.
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Metadaten
Titel
Assessment of right ventricular functional recovery after acute myocardial infarction by 2D speckle-tracking echocardiography
verfasst von
Olivier Huttin
Jérémie Lemarié
Marine Di Meglio
Nicolas Girerd
Damien Mandry
Frédéric Moulin
Simon Lemoine
Yves Juillière
Jacques Felblinger
Pierre-Yves Marie
Christine Selton-Suty
Publikationsdatum
01.03.2015
Verlag
Springer Netherlands
Erschienen in
The International Journal of Cardiovascular Imaging / Ausgabe 3/2015
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-014-0585-7

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