Echocardiographic predictors of early in-hospital heart failure during first ST-elevation acute myocardial infarction: does myocardial performance index and left atrial volume improve diagnosis over conventional parameters of left ventricular function?
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/33795 http://dx.doi.org/10.1186/1476-7120-9-17 |
Resumo: | Background: Left ventricular ejection fraction (LVEF) has been considered a major determinant of early outcome in acute myocardial infarction (AMI). Myocardial performance index (MPI) has been associated to early evolution in AMI in a heterogeneous population, including non ST-elevation or previous AMI. Left atrial volume has been related with late evolution after AMI. We evaluated the independent role of clinical and echocardiographic variables including LVEF, MPI and left atrial volume in predicting early in-hospital congestive heart failure (CHF) specifically in patients with a first isolated ST-elevation AMI.Methods: Echocardiography was performed within 30 hours of chest pain in 95 patients with a first ST-elevation AMI followed during the first week of hospitalization. Several clinical and echocardiographic variables were analyzed. CHF was defined as Killip class >= II. Multivariate regression analysis was used to select independent predictor of in-hospital CHF.Results: Early in-hospital CHF occurred in 29 (31%) of patients. LVEF <= 0.45 was the single independent and highly significant predictor of early CHF among other clinical and echocardiographic variables (odds ratio 17.0; [ 95% CI 4.1 - 70.8]; p < 0.0001). MPI alone could not predict CHF in first ST-elevation AMI patients. Left atrial volume was not associated with early CHF in such patients.Conclusion: for patients with first, isolated ST-elevation AMI, LVEF assessed by echocardiography still constitutes a strong and accurate independent predictor of early in-hospital CHF, superior to isolated MPI and left atrial volume in this particular subset of patients. |
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Souza, Lilian P. [UNIFESP]Campos, Orlando [UNIFESP]Peres, Clovis A. [UNIFESP]Machado, Cristiano V. [UNIFESP]Carvalho, Antonio C. [UNIFESP]Universidade Federal de São Paulo (UNIFESP)2016-01-24T14:16:52Z2016-01-24T14:16:52Z2011-06-03Cardiovascular Ultrasound. London: Biomed Central Ltd, v. 9, 6 p., 2011.1476-7120http://repositorio.unifesp.br/handle/11600/33795http://dx.doi.org/10.1186/1476-7120-9-17WOS000291977900001.pdf10.1186/1476-7120-9-17WOS:000291977900001Background: Left ventricular ejection fraction (LVEF) has been considered a major determinant of early outcome in acute myocardial infarction (AMI). Myocardial performance index (MPI) has been associated to early evolution in AMI in a heterogeneous population, including non ST-elevation or previous AMI. Left atrial volume has been related with late evolution after AMI. We evaluated the independent role of clinical and echocardiographic variables including LVEF, MPI and left atrial volume in predicting early in-hospital congestive heart failure (CHF) specifically in patients with a first isolated ST-elevation AMI.Methods: Echocardiography was performed within 30 hours of chest pain in 95 patients with a first ST-elevation AMI followed during the first week of hospitalization. Several clinical and echocardiographic variables were analyzed. CHF was defined as Killip class >= II. Multivariate regression analysis was used to select independent predictor of in-hospital CHF.Results: Early in-hospital CHF occurred in 29 (31%) of patients. LVEF <= 0.45 was the single independent and highly significant predictor of early CHF among other clinical and echocardiographic variables (odds ratio 17.0; [ 95% CI 4.1 - 70.8]; p < 0.0001). MPI alone could not predict CHF in first ST-elevation AMI patients. Left atrial volume was not associated with early CHF in such patients.Conclusion: for patients with first, isolated ST-elevation AMI, LVEF assessed by echocardiography still constitutes a strong and accurate independent predictor of early in-hospital CHF, superior to isolated MPI and left atrial volume in this particular subset of patients.Universidade Federal de São Paulo, Escola Paulista Med, Dept Cardiol, São Paulo, BrazilUniversidade Federal de São Paulo, Escola Paulista Med, Dept Cardiol, São Paulo, BrazilWeb of Science6engBiomed Central LtdCardiovascular Ultrasoundacute myocardial infarctionechocardiographymyocardial performance indexleft atrial volumeejection fractionEchocardiographic predictors of early in-hospital heart failure during first ST-elevation acute myocardial infarction: does myocardial performance index and left atrial volume improve diagnosis over conventional parameters of left ventricular function?info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALWOS000291977900001.pdfapplication/pdf212607${dspace.ui.url}/bitstream/11600/33795/1/WOS000291977900001.pdfa726de708ee180b4d4529e37de1845b7MD51open accessTEXTWOS000291977900001.pdf.txtWOS000291977900001.pdf.txtExtracted texttext/plain32172${dspace.ui.url}/bitstream/11600/33795/2/WOS000291977900001.pdf.txtde2aea5a635f7177d22cd69b4b9cb3b7MD52open access11600/337952022-02-18 12:08:04.573open accessoai:repositorio.unifesp.br:11600/33795Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652022-02-18T15:08:04Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Echocardiographic predictors of early in-hospital heart failure during first ST-elevation acute myocardial infarction: does myocardial performance index and left atrial volume improve diagnosis over conventional parameters of left ventricular function? |
title |
Echocardiographic predictors of early in-hospital heart failure during first ST-elevation acute myocardial infarction: does myocardial performance index and left atrial volume improve diagnosis over conventional parameters of left ventricular function? |
spellingShingle |
Echocardiographic predictors of early in-hospital heart failure during first ST-elevation acute myocardial infarction: does myocardial performance index and left atrial volume improve diagnosis over conventional parameters of left ventricular function? Souza, Lilian P. [UNIFESP] acute myocardial infarction echocardiography myocardial performance index left atrial volume ejection fraction |
title_short |
Echocardiographic predictors of early in-hospital heart failure during first ST-elevation acute myocardial infarction: does myocardial performance index and left atrial volume improve diagnosis over conventional parameters of left ventricular function? |
title_full |
Echocardiographic predictors of early in-hospital heart failure during first ST-elevation acute myocardial infarction: does myocardial performance index and left atrial volume improve diagnosis over conventional parameters of left ventricular function? |
title_fullStr |
Echocardiographic predictors of early in-hospital heart failure during first ST-elevation acute myocardial infarction: does myocardial performance index and left atrial volume improve diagnosis over conventional parameters of left ventricular function? |
title_full_unstemmed |
Echocardiographic predictors of early in-hospital heart failure during first ST-elevation acute myocardial infarction: does myocardial performance index and left atrial volume improve diagnosis over conventional parameters of left ventricular function? |
title_sort |
Echocardiographic predictors of early in-hospital heart failure during first ST-elevation acute myocardial infarction: does myocardial performance index and left atrial volume improve diagnosis over conventional parameters of left ventricular function? |
author |
Souza, Lilian P. [UNIFESP] |
author_facet |
Souza, Lilian P. [UNIFESP] Campos, Orlando [UNIFESP] Peres, Clovis A. [UNIFESP] Machado, Cristiano V. [UNIFESP] Carvalho, Antonio C. [UNIFESP] |
author_role |
author |
author2 |
Campos, Orlando [UNIFESP] Peres, Clovis A. [UNIFESP] Machado, Cristiano V. [UNIFESP] Carvalho, Antonio C. [UNIFESP] |
author2_role |
author author author author |
dc.contributor.institution.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Souza, Lilian P. [UNIFESP] Campos, Orlando [UNIFESP] Peres, Clovis A. [UNIFESP] Machado, Cristiano V. [UNIFESP] Carvalho, Antonio C. [UNIFESP] |
dc.subject.eng.fl_str_mv |
acute myocardial infarction echocardiography myocardial performance index left atrial volume ejection fraction |
topic |
acute myocardial infarction echocardiography myocardial performance index left atrial volume ejection fraction |
description |
Background: Left ventricular ejection fraction (LVEF) has been considered a major determinant of early outcome in acute myocardial infarction (AMI). Myocardial performance index (MPI) has been associated to early evolution in AMI in a heterogeneous population, including non ST-elevation or previous AMI. Left atrial volume has been related with late evolution after AMI. We evaluated the independent role of clinical and echocardiographic variables including LVEF, MPI and left atrial volume in predicting early in-hospital congestive heart failure (CHF) specifically in patients with a first isolated ST-elevation AMI.Methods: Echocardiography was performed within 30 hours of chest pain in 95 patients with a first ST-elevation AMI followed during the first week of hospitalization. Several clinical and echocardiographic variables were analyzed. CHF was defined as Killip class >= II. Multivariate regression analysis was used to select independent predictor of in-hospital CHF.Results: Early in-hospital CHF occurred in 29 (31%) of patients. LVEF <= 0.45 was the single independent and highly significant predictor of early CHF among other clinical and echocardiographic variables (odds ratio 17.0; [ 95% CI 4.1 - 70.8]; p < 0.0001). MPI alone could not predict CHF in first ST-elevation AMI patients. Left atrial volume was not associated with early CHF in such patients.Conclusion: for patients with first, isolated ST-elevation AMI, LVEF assessed by echocardiography still constitutes a strong and accurate independent predictor of early in-hospital CHF, superior to isolated MPI and left atrial volume in this particular subset of patients. |
publishDate |
2011 |
dc.date.issued.fl_str_mv |
2011-06-03 |
dc.date.accessioned.fl_str_mv |
2016-01-24T14:16:52Z |
dc.date.available.fl_str_mv |
2016-01-24T14:16:52Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Cardiovascular Ultrasound. London: Biomed Central Ltd, v. 9, 6 p., 2011. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/33795 http://dx.doi.org/10.1186/1476-7120-9-17 |
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1476-7120 |
dc.identifier.file.none.fl_str_mv |
WOS000291977900001.pdf |
dc.identifier.doi.none.fl_str_mv |
10.1186/1476-7120-9-17 |
dc.identifier.wos.none.fl_str_mv |
WOS:000291977900001 |
identifier_str_mv |
Cardiovascular Ultrasound. London: Biomed Central Ltd, v. 9, 6 p., 2011. 1476-7120 WOS000291977900001.pdf 10.1186/1476-7120-9-17 WOS:000291977900001 |
url |
http://repositorio.unifesp.br/handle/11600/33795 http://dx.doi.org/10.1186/1476-7120-9-17 |
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eng |
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eng |
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Cardiovascular Ultrasound |
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Biomed Central Ltd |
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Biomed Central Ltd |
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