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The association of left ventricular end-diastolic pressure with global longitudinal strain and scintigraphic infarct size in ST-elevation myocardial infarction patients undergoing primary percutaneous coronary intervention

The International Journal of Cardiovascular Imaging volume 37, pages 359–366 (2021)Cite this article

Abstract

Left ventricular end-diastolic pressure (LVEDP) is an independent predictor for prognosis in ST-elevation myocardial infarction (STEMI) patients. We aimed to investigate the relationship of admission LVEDP measured after a successful primary percutaneous coronary intervention (pPCI) with scintigraphic infarct size (IS) and global longitudinal strain (GLS), a strong predictor of IS, in STEMI patients. A total of 62 consecutive patients with STEMI were enrolled in the study. LVEDP measurements were performed after pPCI in patients who had TIMI-3 flow. Echocardiography was performed 24 h after pPCI and repeated 3 months later. GLS was calculated as an average peak strain from the 3 apical projections. IS was evaluated at the third month by technetium 99m sestamibi. The mean age was 56 ± 8 years in the study population. The mean LVEDP was found 19.4 ± 4.4 mmHg. Median IS was 4% (0–11.7 IQR).The mean GLS at the 24th hour and the third month were found to be − 15.4 ± 2.8 and − 16.7 ± 2.5 respectively. There was a moderate negative correlation between LVEDP and GLS (24th-hour p < 0.001 r = − 0.485 and third-month p < 0.001 r = − 0.489). LVEDP had a moderate positive correlation with scintigraphic IS (p < 0.001 r = 0.545). In the multivariable model, we found that LVEDP was significantly associated with scintigraphic IS (β coefficient = 0.570, p = 0.008) but was not associated with the 24th hour (β coefficient = 0.092, p = 0.171) and third month GLS (β coefficient = 0.037, p = 0.531). This study demonstrated that there was a statistically significant relationship between LVEDP and scintigraphic IS, and IS was increased with high LVEDP values. However, there was not a relationship between LVEDP and GLS.

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Affiliations

  1. Department of Cardiology, SBU Gazi Yaşargil Education and Research Hospital, Diyarbakir, Turkey

    Murat Çap & Bernas Altintaş

  2. Department of Cardiology, Faculty of Medicine, Yüzüncü Yıl University, Van, Turkey

    Emrah Erdoğan

  3. Department of Cardiology, SBU Kartal Kosuyolu Education and Research Hospital, Istanbul, Turkey

    Ali Karagöz, Rezzan Deniz Acar, Çetin Geçmen, Tuba Unkun, Cem Doğan, Büşra Güvendi, Çağatay Önal, Cihangir Kaymaz & Nihal Özdemir

  4. Department of Nuclear Medicine, SBU Kartal Kosuyolu Education and Research Hospital, Istanbul, Turkey

    Özden Savaş Den Hartigh

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  1. Murat Çap
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  2. Emrah Erdoğan
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Çap, M., Erdoğan, E., Karagöz, A. et al. The association of left ventricular end-diastolic pressure with global longitudinal strain and scintigraphic infarct size in ST-elevation myocardial infarction patients undergoing primary percutaneous coronary intervention. Int J Cardiovasc Imaging 37, 359–366 (2021). https://doi.org/10.1007/s10554-020-01945-y

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Keywords

  • Left ventricular end-diastolic pressure
  • Acute myocardial infarction
  • Strain