Functional classification of left ventricular remodelling: prognostic relevance in myocardial infarction.

ABSTRACT:

Aims

The current definition of post ST-segment elevation myocardial infarction (STEMI) left ventricular (LV) remodelling is purely structural (LV dilatation) and does not consider LV function (ejection fraction, EF), even though it is known to be a predictor of long-term post-STEMI outcome. This study aimed to reclassify LV remodelling after STEMI by integrating LV dilatation and function (LVEF) and to investigate the prognostic implications.

Methods and results

Data from an ongoing registry of STEMI patients who were treated with primary percutaneous coronary intervention (PCI) were retrospectively evaluated. Four distinct remodelling subgroups were identified: (i) no LV dilatation, no LVEF impairment,(ii) no LV dilatation but LVEF impairment, (iii) LV dilatation but no LVE

SUBMITTER: Chimed S 

PROVIDER: S-EPMC8934947 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature