Clinical value of non-invasive left ventricular pressure-strain loop in the assessment of left ventricular function and left ventricular remodeling in patients with STEMI
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Clinical value of non-invasive left ventricular pressure-strain loop in the assessment of left ventricular function and left ventricular remodeling in patients with STEMI
Journal of Clinical Ultrasound in MedicineVol. 25, Issue 6, (2023)
作者机构:
河北省医科大学第二附属医院 心脏内科
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Published:2023,
Published Online:30 June 2023,
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Clinical value of non-invasive left ventricular pressure-strain loop in the assessment of left ventricular function and left ventricular remodeling in patients with STEMI. [J]. Journal of Clinical Ultrasound in Medicine 25(6).(2023)
DOI:
Clinical value of non-invasive left ventricular pressure-strain loop in the assessment of left ventricular function and left ventricular remodeling in patients with STEMI. [J]. Journal of Clinical Ultrasound in Medicine 25(6).(2023)DOI:
Clinical value of non-invasive left ventricular pressure-strain loop in the assessment of left ventricular function and left ventricular remodeling in patients with STEMI
Objective: To analyze the clinical value of the noninvasive left ventricular pressure-strain ring (LV-PSL) in the evaluation of left ventricular pressure-strain ring (LV-PSL) after treatment of patients with acute ST-segment elevation myocardial infarction (STEMI). Methods: 90 patients with STEMI who were treated from October 2018 to September 2019 were selected as the observation group
and 90 healthy examinees from the physical examination center in the same period were selected as the comparison group
and the left heart function index
left ventricular reconstruction index and left ventricular overall longitudinal response rate (GLS) were detected and compared
the left ventricular myocardial work function index (GLS) was measured by LV-PSL examination
the left ventricular myocardial work function index was compared between the two groups
and the left ventricular remodeling index
left ventricular remodeling index
GLS
Left ventricular myocardial work indicators
Spearman correlation analysis of left ventricular myocardial work indicators and GLS
left ventricular ejection fraction (LVEF) correlation. Results: The left ventricular end-systolic volume (LVESV)
left ventricular end-diastolic volume (LVEDV)
and global invalid work (GWW) in the observation group were higher than those in the control group before and 3 days after operation. Work efficiency (GWE)
overall work index (GWI)
and overall effective work (GCW) were all lower than those in the control group
P<0.05 (all differences were statistically significant). Before operation
the LVEF
GLS
GWE
GCW and GWI of observation group were higher than those before operation 3 days after operation
P<0.05 (the differences were all statistically significant). The preoperative and postoperative 3dLVEDV
LVESV
and GWW of the multivessel coronary stenosis group were higher than those of the single coronary stenosis group
and the preoperative and postoperative 3dLVEF
GLS
GWE
GCW
and GWI of the multivessel coronary stenosis group were lower than those of the single coronary stenosis group. Coronary artery stenosis group
P<0.05 (all differences were statistically significant). GWW was negatively correlated with GLS and LVEF
and GWE
GCW and GWI were positively correlated with GLS and LVEF
P<0.05 (all differences were statistically significant). Conclusion: Lv-PSL parameters in STEMI patients have a certain correlation with GLS and LVEF
and LV-PSL examination can accurately assess the left heart function and left ventricular remodeling of patients through LV-PSL examination