Echocardiographic parameters of the left ventricle in patients after Q-wave and non-Q-wave myocardial infarction

Aim. To perform a dynamic assessment and comparative analysis of non-invasive parameters of myocardial function in patients with Q-wave and non-Q-wave myocardial infarction (MI) during 24-week follow-up after revascularization.Material and methods. A total of 95 patients with acute MI were included....

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Main Authors: V. E. Oleynikov, L I. Salyamova, A. V. Golubeva, O. D. Vershinina, A. A. Chernova, N. A. Donetskaya
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2024-03-01
Series:Российский кардиологический журнал
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Online Access:https://russjcardiol.elpub.ru/jour/article/view/5738
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author V. E. Oleynikov
L I. Salyamova
A. V. Golubeva
O. D. Vershinina
A. A. Chernova
N. A. Donetskaya
author_facet V. E. Oleynikov
L I. Salyamova
A. V. Golubeva
O. D. Vershinina
A. A. Chernova
N. A. Donetskaya
author_sort V. E. Oleynikov
collection DOAJ
description Aim. To perform a dynamic assessment and comparative analysis of non-invasive parameters of myocardial function in patients with Q-wave and non-Q-wave myocardial infarction (MI) during 24-week follow-up after revascularization.Material and methods. A total of 95 patients with acute MI were included. On days 7-9 and after 24 weeks, speckle tracking echocardiography was performed with assessment of global longitudinal (GLS), global circumferential (GCS) and global radial strain (GRS), global work index (GWI), global constructive work (GCW), global wasted work (GWW), global work efficiency (GWE).Results. Taking into account the presence/absence of the Q wave, the subjects were divided into two groups: Q-wave MI — 66 patients (69,5%), non-Q-wave MI — 29 (30,5%) people. In the Q-wave MI group, by the 24th week, most parameters of myocardial performance were significantly lower than in the comparison group. In group 1, GWE was 93 (87; 96)% vs 96 (91; 97)% (p=0,04) in group 2; GWI — 1429±444,1 and 1653,3±385,84 mm Hg %, respectively (p=0,02). The GCW level in the Q-wave MI group was 1640±477,8 mm Hg % vs 1852,9±440,88 mm Hg % in the non-Q-wave MI group (p=0,04). Subsequently, a favorable increase in GLS (p=0,01), GWI (p=0,04), GWE (p=0,01), GCW (p=0,03) was revealed in the non-Q-wave MI group.Conclusion. The results obtained suggest that non-invasive parameters of myocardial performance can be used to assess transient ischemic dysfunction due to myocardial stunning, expressed to varying severity in patients with Q-wave MI and non-Q-wave MI.
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publishDate 2024-03-01
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spelling doaj-art-c3599698ac6d4ef5b2946c1d8fcb51fc2025-08-04T13:00:32Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202024-03-0129210.15829/1560-4071-2024-57383991Echocardiographic parameters of the left ventricle in patients after Q-wave and non-Q-wave myocardial infarctionV. E. Oleynikov0L I. Salyamova1A. V. Golubeva2O. D. Vershinina3A. A. Chernova4N. A. Donetskaya5Penza State UniversityPenza State UniversityPenza State UniversityPenza State UniversityPenza State UniversityN. N. Burdenko Penza Regional Clinical HospitalAim. To perform a dynamic assessment and comparative analysis of non-invasive parameters of myocardial function in patients with Q-wave and non-Q-wave myocardial infarction (MI) during 24-week follow-up after revascularization.Material and methods. A total of 95 patients with acute MI were included. On days 7-9 and after 24 weeks, speckle tracking echocardiography was performed with assessment of global longitudinal (GLS), global circumferential (GCS) and global radial strain (GRS), global work index (GWI), global constructive work (GCW), global wasted work (GWW), global work efficiency (GWE).Results. Taking into account the presence/absence of the Q wave, the subjects were divided into two groups: Q-wave MI — 66 patients (69,5%), non-Q-wave MI — 29 (30,5%) people. In the Q-wave MI group, by the 24th week, most parameters of myocardial performance were significantly lower than in the comparison group. In group 1, GWE was 93 (87; 96)% vs 96 (91; 97)% (p=0,04) in group 2; GWI — 1429±444,1 and 1653,3±385,84 mm Hg %, respectively (p=0,02). The GCW level in the Q-wave MI group was 1640±477,8 mm Hg % vs 1852,9±440,88 mm Hg % in the non-Q-wave MI group (p=0,04). Subsequently, a favorable increase in GLS (p=0,01), GWI (p=0,04), GWE (p=0,01), GCW (p=0,03) was revealed in the non-Q-wave MI group.Conclusion. The results obtained suggest that non-invasive parameters of myocardial performance can be used to assess transient ischemic dysfunction due to myocardial stunning, expressed to varying severity in patients with Q-wave MI and non-Q-wave MI.https://russjcardiol.elpub.ru/jour/article/view/5738myocardial functionmyocardial infarctionspeckle tracking cardiographyglobal work indexglobal constructive workglobal wasted workglobal work efficiency
spellingShingle V. E. Oleynikov
L I. Salyamova
A. V. Golubeva
O. D. Vershinina
A. A. Chernova
N. A. Donetskaya
Echocardiographic parameters of the left ventricle in patients after Q-wave and non-Q-wave myocardial infarction
Российский кардиологический журнал
myocardial function
myocardial infarction
speckle tracking cardiography
global work index
global constructive work
global wasted work
global work efficiency
title Echocardiographic parameters of the left ventricle in patients after Q-wave and non-Q-wave myocardial infarction
title_full Echocardiographic parameters of the left ventricle in patients after Q-wave and non-Q-wave myocardial infarction
title_fullStr Echocardiographic parameters of the left ventricle in patients after Q-wave and non-Q-wave myocardial infarction
title_full_unstemmed Echocardiographic parameters of the left ventricle in patients after Q-wave and non-Q-wave myocardial infarction
title_short Echocardiographic parameters of the left ventricle in patients after Q-wave and non-Q-wave myocardial infarction
title_sort echocardiographic parameters of the left ventricle in patients after q wave and non q wave myocardial infarction
topic myocardial function
myocardial infarction
speckle tracking cardiography
global work index
global constructive work
global wasted work
global work efficiency
url https://russjcardiol.elpub.ru/jour/article/view/5738
work_keys_str_mv AT veoleynikov echocardiographicparametersoftheleftventricleinpatientsafterqwaveandnonqwavemyocardialinfarction
AT lisalyamova echocardiographicparametersoftheleftventricleinpatientsafterqwaveandnonqwavemyocardialinfarction
AT avgolubeva echocardiographicparametersoftheleftventricleinpatientsafterqwaveandnonqwavemyocardialinfarction
AT odvershinina echocardiographicparametersoftheleftventricleinpatientsafterqwaveandnonqwavemyocardialinfarction
AT aachernova echocardiographicparametersoftheleftventricleinpatientsafterqwaveandnonqwavemyocardialinfarction
AT nadonetskaya echocardiographicparametersoftheleftventricleinpatientsafterqwaveandnonqwavemyocardialinfarction