Assessment of Left Ventricular Filling Pressure and Remodeling Using 2D Speckle Tracking Echocardiography among Patients with ST-Segment Elevation Myocardial Infarction Treated by Primary Percutaneous Intervention

Background A harmful process known as left ventricular remodeling begins with the acute phase of myocardial infarction and progresses to LV dilatation and systolic failure. After an acute myocardial infarction, LV remodeling is a predictor of heart failure and higher mortality. In order to determine whether patients with ST-segment elevation MI (STEMI) treated with PPCI and other patients who did not get PPCI (thrombolytic therapy or medical treatment) had sustained elevation of the E/e0 ratio and LV remodeling, this study was conducted. Methods The present study had conducted on 60 cases with first acute STEMI who had either directed to catheterization lab for primary PCI or thrombolytic therapy or medical treatment, Based on the percentage of changes in LVED volume at admission, during the three-month follow-up, cases had split into two gathering. Results There had no critical difference between the studied gathering as regards different risk factors, but there had a critical difference between the studied gathering as regards STR, EDV, GLS, ESV, EF, e', diastolic dysfunction, LVr. all the cases in gathering Ⅲ (100%) had left ventricular remodeling in comparison to (90%) of the cases in gathering Ⅱ, (39.5%) of the cases in gathering Ⅰ. Conclusion Cases having treatment for ST-segment elevation myocardial infarctions primary percutaneous coronary intervention, Early LV global longitudinal, circumferential strain could predict LV remodeling in anterior STEMI.