Echocardiographic Evaluation of left Ventricular Function Following Late Percutaneous Coronary Intervention after Acute Anterior Myocardial Infarction with Left Ventricular Systolic Dysfunction

  • Md Tufazzal Hossen Resident (Phase-B), Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Sayed Ali Ahsan Professor, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Abu Salim Associate Professor, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Khurshed Ahmed Associate Professor, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Mukhlesur Rahman Associate Professor, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Dipal K Adhikary Associate Professor, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Ariful Islam Joarder Assistant Professor, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Fakhrul Islam Khaled Assistant Professor, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Madhusudan Paul Resident (Phase-B), Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Abu Bakar Md Jamil Resident (Phase-B), Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Zainal Abedin MD Final Part Student: Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Fazlul Karim Assistant Professor, Sheikh Hasina Medical College, Jamalpur
Keywords: Late Percutaneous Coronary Intervention (PCI), LVESV (left ventricular end systolic volume), LVEF (left ventricular ejection fraction)

Abstract

Background: The effect of late percutaneous coronary intervention on left ventricular function is incompletely understood.

Objectives: To evaluate the effect of late Percutaneous Coronary Intervention on LV systolic function following coronary stenting after acute anterior myocardial infarction.

Methods: A total of 60 patients, > 24 hours to 6 weeks after anterior AMI who attended in UCC, BSMMU between July 2014 to June 2015 were included in this study. They underwent coronary stenting. After coronary stenting all patients were in TIMI flow-3. Serial echocardiographic assessment of LV function before and after late intervention with modified Simpson’s rule in apical 4 chamber view as well as comparison between baseline result with that of after intervention were done. The patients were on standard medical therapy in post intervention period.

Result: Mean age was 54.3±8.91 years with minimum 30 years and maximum 75 years. Most of the patients were male (67%). LVESV was 60.0±14.4 ml before PCI and 58.3±15.3 ml at discharge (p value 0.091) & 44.1±17.6 ml after 3 months (p value <0.001). LVEF was 40.2±3.1% before PCI, 40.2±3.3% at discharge (p value 0.509) & 47.6±5.9% after 3 months (p value <0.001). There was no significant improvement of LV function from baseline till discharge but significant improvement occurred after 3months.

Conclusion: Using echocardiographic techniques, our results showed that left ventricular volume decreased and the left ventricular ejection fraction increased significantly after three months of late intervention.

Bangladesh Heart Journal 2018; 33(2) : 90-93

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Abstract
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Published
2018-12-28
How to Cite
Hossen, M. T., Ahsan, S., Salim, M. A., Ahmed, K., Rahman, M. M., Adhikary, D., Joarder, A., Khaled, M. F., Paul, M., Md Jamil, A., Abedin, M. Z., & Karim, M. F. (2018). Echocardiographic Evaluation of left Ventricular Function Following Late Percutaneous Coronary Intervention after Acute Anterior Myocardial Infarction with Left Ventricular Systolic Dysfunction. Bangladesh Heart Journal, 33(2), 90-93. https://doi.org/10.3329/bhj.v33i2.39303
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Original Articles