Joaquín Ahumada-Pérez, Luis Antonio Moreno-Ruíz, Carlos García-Cosío, Ivan Silvestre-Flores, Antonio Ruíz-Rivera, Noe Fernando Zamorano-Velázquez, Guadalupe Cleva Villanueva-López
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Functional recovering was defined as an improvement of the ejection fraction ≥ 10% at 3-months follow-up.</p><p><strong>Results: </strong>A total of 52 patients were enrolled. An area strain of ≤ -24.2 % appeared in the 45.5% of the patients with functional recovering, RR 16.25 (IC 95%: 2.55-103, p = 0.003). In the multivariate analyses the area strain of ≤ -24.2 % was the only variable with statistical significance with an OR of 13.15 (IC 95%: 1.83-94, p = 0.010) when was adjusted to hypertension, OR of 12.7 (IC 95%: 1.88-85.9, p = 0.009) adjusted to reperfusion time of ≤ 120 minutes and the OR was of 11.87 (IC 95%: 1.66-84.5, p = 0.013) adjusted to smoking.</p><p><strong>Conclusions: </strong>An area strain of ≤ - 24.2% is a prognostic factor of improvement of ejection fraction of ≥ 10% at 3-months follow-up in patients with myocardial infarction and succesful angioplasty.</p>","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 2","pages":"e6591"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043351/pdf/","citationCount":"0","resultStr":"{\"title\":\"[Area strain as prognostic factor of functional recovering in myocardial infarction].\",\"authors\":\"Joaquín Ahumada-Pérez, Luis Antonio Moreno-Ruíz, Carlos García-Cosío, Ivan Silvestre-Flores, Antonio Ruíz-Rivera, Noe Fernando Zamorano-Velázquez, Guadalupe Cleva Villanueva-López\",\"doi\":\"10.5281/zenodo.14617002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Area strain evaluates the longitudinal and circumferential deformation simultaneously. There are not estudies that support its benefit in predicting functional recovering in myocardial infarction.</p><p><strong>Objective: </strong>The aim was establish the prognostic value of the area strain measured within the first 7 days after succesful angioplasty to predicting functional recovering.</p><p><strong>Materail and methods: </strong>A prospective cohort study was performed during 3-month follow-up. Patients with myocardial infarction treated with succesful angioplasty were enrolled. The area strain was perfomed within the first 7 days. Functional recovering was defined as an improvement of the ejection fraction ≥ 10% at 3-months follow-up.</p><p><strong>Results: </strong>A total of 52 patients were enrolled. An area strain of ≤ -24.2 % appeared in the 45.5% of the patients with functional recovering, RR 16.25 (IC 95%: 2.55-103, p = 0.003). In the multivariate analyses the area strain of ≤ -24.2 % was the only variable with statistical significance with an OR of 13.15 (IC 95%: 1.83-94, p = 0.010) when was adjusted to hypertension, OR of 12.7 (IC 95%: 1.88-85.9, p = 0.009) adjusted to reperfusion time of ≤ 120 minutes and the OR was of 11.87 (IC 95%: 1.66-84.5, p = 0.013) adjusted to smoking.</p><p><strong>Conclusions: </strong>An area strain of ≤ - 24.2% is a prognostic factor of improvement of ejection fraction of ≥ 10% at 3-months follow-up in patients with myocardial infarction and succesful angioplasty.</p>\",\"PeriodicalId\":94200,\"journal\":{\"name\":\"Revista medica del Instituto Mexicano del Seguro Social\",\"volume\":\"63 2\",\"pages\":\"e6591\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-03-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043351/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista medica del Instituto Mexicano del Seguro Social\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5281/zenodo.14617002\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista medica del Instituto Mexicano del Seguro Social","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5281/zenodo.14617002","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
背景:区域应变同时评价纵向和周向变形。没有研究支持其在预测心肌梗死功能恢复方面的益处。目的:探讨血管成形术成功后7天内测量的面积应变对预测功能恢复的预测价值。材料和方法:前瞻性队列研究进行了为期3个月的随访。接受血管成形术成功治疗的心肌梗死患者被纳入研究。前7天进行面积应变。功能恢复定义为3个月随访时射血分数改善≥10%。结果:共入组52例患者。45.5%的功能恢复患者出现面积应变≤- 24.2%,RR为16.25 (IC 95%: 2.55 ~ 103, p = 0.003)。多因素分析中,面积应变≤- 24.2%是唯一有统计学意义的变量,高血压校正时OR为13.15 (IC 95%: 1.83 ~ 94, p = 0.010),再灌注时间≤120分钟校正时OR为12.7 (IC 95%: 1.88 ~ 85.9, p = 0.009),吸烟校正时OR为11.87 (IC 95%: 1.66 ~ 84.5, p = 0.013)。结论:面积应变≤- 24.2%是心肌梗死和血管成形术成功患者3个月随访时射血分数改善≥10%的预后因素。
[Area strain as prognostic factor of functional recovering in myocardial infarction].
Background: Area strain evaluates the longitudinal and circumferential deformation simultaneously. There are not estudies that support its benefit in predicting functional recovering in myocardial infarction.
Objective: The aim was establish the prognostic value of the area strain measured within the first 7 days after succesful angioplasty to predicting functional recovering.
Materail and methods: A prospective cohort study was performed during 3-month follow-up. Patients with myocardial infarction treated with succesful angioplasty were enrolled. The area strain was perfomed within the first 7 days. Functional recovering was defined as an improvement of the ejection fraction ≥ 10% at 3-months follow-up.
Results: A total of 52 patients were enrolled. An area strain of ≤ -24.2 % appeared in the 45.5% of the patients with functional recovering, RR 16.25 (IC 95%: 2.55-103, p = 0.003). In the multivariate analyses the area strain of ≤ -24.2 % was the only variable with statistical significance with an OR of 13.15 (IC 95%: 1.83-94, p = 0.010) when was adjusted to hypertension, OR of 12.7 (IC 95%: 1.88-85.9, p = 0.009) adjusted to reperfusion time of ≤ 120 minutes and the OR was of 11.87 (IC 95%: 1.66-84.5, p = 0.013) adjusted to smoking.
Conclusions: An area strain of ≤ - 24.2% is a prognostic factor of improvement of ejection fraction of ≥ 10% at 3-months follow-up in patients with myocardial infarction and succesful angioplasty.