Cited by 305Cardiovascular Function and Risk FactorsCardiac Imaging and DiagnosticsCardiac Fibrosis and Remodeling

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Longitudinal and Circumferential Strain Rate, Left Ventricular Remodeling, and Prognosis After Myocardial Infarction

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Hung, Chung-Lieh, Verma, Anil, Uno, Hajime, Shin, Sung-Hee, Bourgoun, Mikhail, Hassanein, Amira H., McMurray, John J., Velazquez, Eric J., Kober, Lars, Pfeffer, Marc A., Solomon, Scott D.·2010·Journal of the American College of Cardiology

DOI 10.1016/j.jacc.2010.06.044

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Abstract

Objectives We sought to investigate the clinical prognostic value of longitudinal and circumferential strain (S) and strain rate (SR) in patients after high-risk myocardial infarction (MI).Background Left ventricular (LV) contractile performance after MI is an important predictor of long-term outcome. Tissue deformation imaging might more closely reflect myocardial contractility than traditional measures of systolic functions.Methods The VALIANT (Valsartan in Acute Myocardial Infarction Trial) Echo study enrolled 603 patients with LV dysfunction, heart failure, or both 5 days after MI. We measured global peak longitudinal S and systolic SR (SRs) from apical 4- and 2-chamber views and global circumferential S and SRs from parasternal short-axis view with speckle tracking software (Velocity Vector Imaging, Siemens, Inc., Mountain View, California). We related global S and SRs to LV remodeling at 20-month follow-up and to clinical outcomes.Results Both longitudinal (mean: -5.1 ± 1.6 100/ms) and circumferential SRs (mean: -8.0 ± 2.8 100/ms) were predictive of death or hospital stay for heart failure (hazard ratio: 2.4, 95% confidence interval [CI]: 2.0 to 3.1, p < 0.001; hazard ratio: 1.3, 95% CI: 1.2 to 1.4, p < 0.001, respectively) after adjustment for clinical covariates by Cox proportional hazards, and longitudinal SRs further improved in predicting 18-month survivor on a model based on clinical and standard echocardiographic measures (increase in area under the receiver-operator characteristic curve: 0.13, p = 0.009). With multivariable logistic regression, circumferential SRs, but not longitudinal SRs, was strongly predictive of remodeling (odds ratio: 1.3, 95% CI: 1.1 to 1.4, p < 0.001).Conclusions Both longitudinal and circumferential SRs were independent predictors of outcomes after MI, whereas only circumferential SRs was predictive of remodeling, suggesting that preserved circumferential function might serve to restrain ventricular enlargement after MI.

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Authors: Hung, C.-L., Verma, A., Uno, H., Shin, S.-H., Bourgoun, M., Hassanein, A. H., McMurray, J. J., Velazquez, E. J., Kober, L., Pfeffer, M. A., & Solomon, S. D.
Affiliations: Brigham and Women's Hospital (US)
Harvard University (US)
Western Infirmary (GB)
Duke Medical Center (US)
Corresponding author: Solomon, Scott D.
ORCID: Hung, Chung-Lieh
Verma, Anil
Uno, Hajime
Shin, Sung-Hee
McMurray, John J.
Velazquez, Eric J.
Pfeffer, Marc A.
Solomon, Scott D.
Venue: Journal of the American College of Cardiology
Publisher: Elsevier BV
Published: 2010-11
Volume: 56
Issue: 22
Pages: 1812-1822
ISSN: 0735-1097 (ISSN-L)
DOI: 10.1016/j.jacc.2010.06.044
OpenAlex: W2082997321
Cited by: 305
References: 40
Citations by year: 2026: 3 · 2025: 12 · 2024: 13 · 2023: 11 · 2022: 24 · 2021: 26 · 2020: 22 · 2019: 18 · 2018: 26 · 2017: 26 · 2016: 26 · 2015: 18 · 2014: 23 · 2013: 28 · 2012: 15
FWCI: 12.30
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 988 d)
Locations: Journal of the American College of Cardiology (publishedVersion)
PubMed (publishedVersion)
ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
Funders: Novartis and Boehringer Ingelheim
Amgen, Baxter, Bristol-Myers Squibb, Celladon, Novartis, and Sanofi-Aventis
Novartis
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Fibrosis and Remodeling
Keywords: strain rate, longitudinal strain, circumferential strain, left ventricular remodeling, prognosis, speckle tracking echocardiography, cardiac contractility, heart failure, mortality
MeSH terms: Aged, Biomechanical Phenomena, Female, Humans, Male, Middle Aged, Myocardial Infarction, Prognosis, Ultrasonography, Ventricular Remodeling

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Longitudinal and Circumferential Strain Rate, Left Ventricular Remodeling, and Prognosis After Myocardial Infarction

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