Can parameters From Other Side of the heart predicts post-discharge first-month deaths in AMI?

Document Type : Original Article

Authors

Department of Cardiology, El-Minia Faculty of Medicine

Abstract

Background: to study different right ventricular echocardiographic parameters and find their correlation 
to death after discharge and up to 1 month after acute STEMI. Methods and Results:134 patients with 
acute STEMI admitted from 2014 to 2016 were included. History and 12- Lead ECG and clinical 
examination and Echocardiography was done within 48 hours from admission. End points was death 
event in the period extending from discharge till end of 30-days post-AMI. Study cohort were divided 
into group of patients who died in the above period of time and group of patients who survived. 
Univariate Predictors were the RWMA score (p=0.003), RWMA score index (p=0.004), mitral E/e’ 
ratio(p=0.019), EF% (p=0.009), and TAPSE (p=0.001). After, multivariate regression analysis only 
TAPSE (p=0.010) was statistically independent predictor. Conclusion:Reduced Tricuspid valve annular 
plane systolic excursion in addition to reduced EF can give prognostic indicator for death in period 
extending from discharge till 30th day post-AMI.

Keywords

Main Subjects

Files

Share

How to cite

Statistics