Relation between three-dimensional and two-dimensional echocardiography and biochemical analysis in patients with ST-segment elevation myocardial infarction percutaneously treated
ABSTRACT Objective: The prognosis of patients with acute myocardial infarction depends on multiple features that can demonstrate myocardial injury degree (such as serum markers of cardiac necrosis), and also on adaptive mechanisms relative to the acute event. The aim of the study was to assess the relation between biochemical and echocardiographic findings from three-dimensional echocardiographic (3D Echo) analysis and echocardiographic two-dimensional (2D Echo) left ventricular ejection fraction in patients with ST-segment elevation acute myocardial infarction, submitted to primary percutaneous treatment. Methods: A prospective study with 2D Echo and 3D Echo of 23 patients (17 males, mean age of 57 ± 13 years) with ST-segment elevation acute myocardial infarction, primarily percutaneously treated (stent). Serum cardiac markers (creatine kinase MB, Troponin I and Myoglobin) and serum brain natriuretic peptide were compared to echocardiographic parameters (volumes, left ventricular ejection fraction and ventricular dyssynchrony index). The statistical analysis was performed using Pearson's correlation coefficient, 95% CI, p < 0.05, linear regression equation and Bland & Altman test. Results: Pearson's correlation coefficient (r)relative to 3D left ventricular ejection fraction: 1- brain natriuretic peptide: r: - 0.7427, p < 0.0001; 2- creatine kinase MB: r: - 0.660, p = 0.001. Left ventricular ejection fraction 2D (r) : 1- brain natriuretic peptide: r: - 0.5478, p = 0.001; 2- creatine kinase MB: r: - 0.4800, p < 0.0277. Other associations were not significant. Conclusions: In this series, it was observed better correlation in regard to serum creatine kinase MB, brain natriuretic peptide and 3D Echo left ventricular ejection fraction, when compared to 2D Echo left ventricular ejection fraction.
Main Authors: | Vieira,Marcelo Luiz Campos, Oliveira,Wercules Antônio, Cury,Alexandre Ferreira, Cordovil,Adriana, Rodrigues,Ana Clara Tude, Naccarato,Gustavo Alberto Frazatto, Monaco,Claudia Gianini, Costa,Lea Paula Ravani Beneti, Romano,Renata Barbara, Calatroia,João Roberto, Afonso,Tania Regina, Tavares,Glaucia Maria Penha, Guimarães,Laise Antônia Bonfim, Lira Filho,Edgar Bezerra, Perin,Marco Antonio, Fischer,Claudio Henrique, Morhy,Samira Saady |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Instituto Israelita de Ensino e Pesquisa Albert Einstein
2010
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082010000100053 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Similar Items
-
Three-dimensional Echocardiography for Percutaneous Occlusion of Patent Foramen Ovale
by: Poffo,Robinson, et al.
Published: (2016) -
Real-Time Three-Dimensional Echocardiography and Myocardial Strain: Ready for Use in Clinical Practice
by: Mancuso,Frederico Jose Neves
Published: (2019) -
Performance of two-dimensional Doppler echocardiography for the assessment of infarct size and left ventricular function in rats
by: Nozawa,E., et al.
Published: (2006) -
Chronic Obstructive Pulmonary Disease: The Role of Myocardial Deformation Indices and Right Ventricle Three-Dimensional Echocardiography
by: Botelho,Claudia Myriam Amaral, et al.
Published: (2022) -
Evaluation of stunned and infarcted canine myocardium by real time myocardial contrast echocardiography
by: Dourado,P.M.M., et al.
Published: (2003)