CHARACTERISTICS OF LATE POST-INFARCTION CARDIAC REMODELING

R.Ya. Abdullaiev; V.A. Kapustnik; V.D. Markovsky; F.I. Kulikova; A.G. Kyrychenko; N.V. Tomakh

doi:10.34921/amj.2023.3.002

Authors

R.Ya. Abdullaiev Kharkiv National Medical University
V.A. Kapustnik Kharkiv National Medical University
V.D. Markovsky Kharkiv National Medical University
F.I. Kulikova Dnipro Institute of Medicine and Public Health
A.G. Kyrychenko Ukrainian State Research Institute of Medical and Social Disability Problems of the Ministry of Health of Ukraine
N.V. Tomakh Ukrainian State Research Institute of Medical and Social Disability Problems of the Ministry of Health of Ukraine

DOI:

https://doi.org/10.34921/amj.2023.3.002

Keywords:

acute myocardial infarction, echocardiography, late postinfarction period, cardiac postinfarction remodeling

Abstract

The article presents the results of echocardiography in assessing cardiac remodeling in 79 patients 12 months after acute myocardial infarction (MI). 42 (53.2%) patients had Q-positive (Q+), 37 (46.8%) Q-negative (Q-) myocardial infarction. After 12 months, chronic heart failure (ChHF) was detected in 32 patients, of which 23 (54.8%) as a result of Q(+), and 9 (24.3%) Q(-) infarction.
In patients who underwent Q (+) MI with ChHF in the late post-infarction period, the values of left ventricular end-diastolic dimension (EDD), end-sistolic dimension (ESD), left atrial dimension (LAD), local contractility index (LCI), sphericity index (SI), left ventricular myocardial mass index (LV MMI, g/m2) were significantly (P<0.05, P<0.01) higher than in patients with Q ( -) MI and without ChHF. The average value of such EchoCG parameters as ejection fraction (EF, %), degree of shortening of the anteroposterior dimension of the left ventricle (ΔS, %) and the ratio of the total wall thickness and LV EDD (2H/D index) in patients with Q (-) MI was higher than in the group of patients with Q (+) and without ChHF.