Relationship between the infarct localization and left ventricular rotation parameters following acute ST-segment elevation myocardial infarction

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dc.authoridDemirkıran, Aykut/0000-0001-8322-3514
dc.authoridOzdemir, Gul Nihal/0000-0002-3204-4353;
dc.authorwosidDemirkıran, Aykut/AAE-1755-2021
dc.authorwosidDEMIRKIRAN, Aykut/AAC-8175-2021
dc.authorwosidOzdemir, Gul Nihal/AAO-9962-2020
dc.authorwosidemre, ender/IAM-1604-2023
dc.authorwosidZorkun, Cafer/S-7132-2016
dc.contributor.authorDemirkiran, Aykut
dc.contributor.authorZorkun, Cafer
dc.contributor.authorDemir, Hasan Deniz
dc.contributor.authorTopcu, Birol
dc.contributor.authorEmre, Ender
dc.contributor.authorOzdemir, Nihal
dc.date.accessioned2024-06-12T10:52:18Z
dc.date.available2024-06-12T10:52:18Z
dc.date.issued2020
dc.departmentTrakya Üniversitesien_US
dc.description.abstractOjective: This study was an investigation of the role of left ventricular (LV) apical rotation seen in the early period after myocardial infarction (MI) in predicting infarct localization. Methods: A total of 124 patients with a ST-Segment elevation myocardial infarction (STEMI) diagnosis who underwent primary percutaneous coronary intervention (PCI) and 50 healthy volunteers with similar demographic characteristics were included in the study. The relationship between 2-dimenstional speckle tracking echocardiography (STE)-guided LV apical rotation angle measurements and technetium-99m sestamibi-single-photon emission computed tomography (SPECT)-guided infarct localization was evaluated. Conventional echocardiography and STE were performed on average 2 days after PCI, and gated SPECT myocardial perfusion imaging (MPI) was performed within an average of 60 days. Results: The apical rotation angle was lower in patients with an anterior MI compared with those who had an inferior MI and the control group (AntMl-InfMl: 6.51 +/- 2.4 degrees, AntMI-Control: 13.20 +/- 2.5 degrees, InfMI-Control: 14.3 +/- 2.1 degrees, p value: 0.00, 0.00, 0.15, respectively). SPECT MPI analysis revealed the presence of an LV apical scar in all patients with acute anterior MI, but only 14 of those with inferior MI group (usually the inferoapical wall). The apical rotation angle recorded in patients with apical scar was lower than that of the patients without apical scar (7.6 +/- 2.8 degrees and 14.5 +/- 2 degrees, respectively; p=0.00). Receiver operating characteristic curve analysis yielded an area under the curve for apical rotation of 0.799 (p<0.01). The optimal cutoff value of 12.1 degrees had a sensitivity of 78.3% and a specificity of 68.2% for predicting LV apical scar following STEMI. Conclusion: Detection of apical rotation angle decrease in the early period after STEMI may be useful in predicting extension of infarct scarring to the LV apex.en_US
dc.identifier.doi10.5543/tkda.2019.36422
dc.identifier.endpage262en_US
dc.identifier.issn1016-5169
dc.identifier.issue3en_US
dc.identifier.pmid32281952en_US
dc.identifier.scopus2-s2.0-85083544291en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage255en_US
dc.identifier.trdizinid376733en_US
dc.identifier.urihttps://doi.org/10.5543/tkda.2019.36422
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/376733
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18669
dc.identifier.volume48en_US
dc.identifier.wosWOS:000526091700005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Soc Cardiologyen_US
dc.relation.ispartofTurk Kardiyoloji Dernegi Arsivi-Archives Of The Turkish Society Of Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectApical Rotationen_US
dc.subjectInfarct Locationen_US
dc.subjectInfarct Sizeen_US
dc.subjectLeft Ventricular Torsionen_US
dc.subjectSpeckle Tracking Echocardiographyen_US
dc.subjectSizeen_US
dc.titleRelationship between the infarct localization and left ventricular rotation parameters following acute ST-segment elevation myocardial infarctionen_US
dc.typeArticleen_US

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