Prognostic Value of Left Atrium Remodeling after Primary Percutaneous Coronary Intervention in Patients with ST Elevation Acute Myocardial Infarction

The purpose of this study is to assess the relationship between left atrial (LA) size and outcome after acute myocardial infarction (AMI) in patients undergoing primary percutaneous coronary intervention (PCI) and to evaluate dynamic changes in LA size during long-term follow-up. Echocardiographic a...

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Published in	Journal of Korean medical science Vol. 27; no. 3; pp. 236 - 242
Main Authors	Cho, Jang Hyun, Kim, Su Hyun, Kim, Cheol hwan, Park, Jae Yeong, Choi, Seung, Yun, Myung Ho, Kim, Dong Han, Mun, Jae Hyun, Kim, Jun Young, Yoon, Hyun Ju, Kim, Kye Hun, Jeong, Myung Ho
Format	Journal Article
Language	English
Published	Korea (South) The Korean Academy of Medical Sciences 01.03.2012 대한의학회
Subjects	Aged Angioplasty, Balloon, Coronary Echocardiography Female Follow-Up Studies Heart Atria - diagnostic imaging Heart Atria - pathology Heart Atria - physiopathology Humans Male Middle Aged Myocardial Infarction - diagnostic imaging Myocardial Infarction - pathology Myocardial Infarction - physiopathology Myocardial Infarction - therapy Original Prognosis Time Factors 의학일반 Myocardial Infarction Echocardiography Prognosis Remodeling Heart atria
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ISSN	1011-8934 1598-6357 1598-6357
DOI	10.3346/jkms.2012.27.3.236

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Abstract	The purpose of this study is to assess the relationship between left atrial (LA) size and outcome after acute myocardial infarction (AMI) in patients undergoing primary percutaneous coronary intervention (PCI) and to evaluate dynamic changes in LA size during long-term follow-up. Echocardiographic analyses were performed on 253 AMI patients (174 male and 79 female, 65.4 ± 13.7 yr) undergoing PCI. These subjects were studied at baseline and at 12 months. Clinical follow-up were done at 30.8 ± 7.5 months. We assessed LA volume index (LAVI) at AMI-onset and at 12-month. Change of LAVI was an independent predictor of new onset of atrial fibrillation or hospitalization for heart failure (P = 0.002). Subjects who survived the 12-month period displayed an increased LAVI mean of 1.86 ± 4.01 mL/m(2) (from 26.1 ± 8.6 to 28.0 ± 10.1 mL/m(2), P < 0.001). The subject group that displayed an increased LAVI correlated with a low left ventricular ejection fraction, large left ventricle systolic and diastolic dimensions and an enlarged LA size. In conclusion, change of LAVI is useful parameter to predict subsequent adverse cardiac event in AMI patients. Post-AMI echocardiographic evaluation of LAVI provides important prognostic information that is significantly greater than that obtained from clinical and laboratory parameters alone.
AbstractList	The purpose of this study is to assess the relationship between left atrial (LA) size and outcome after acute myocardial infarction (AMI) in patients undergoing primary percutaneous coronary intervention (PCI) and to evaluate dynamic changes in LA size during long-term follow-up. Echocardiographic analyses were performed on 253 AMI patients (174 male and 79 female, 65.4 ± 13.7 yr) undergoing PCI. These subjects were studied at baseline and at 12 months. Clinical follow-up were done at 30.8 ± 7.5 months. We assessed LA volume index (LAVI) at AMI-onset and at 12-month. Change of LAVI was an independent predictor of new onset of atrial fibrillation or hospitalization for heart failure (P = 0.002). Subjects who survived the 12-month period displayed an increased LAVI mean of 1.86 ± 4.01 mL/m(2) (from 26.1 ± 8.6 to 28.0 ± 10.1 mL/m(2), P < 0.001). The subject group that displayed an increased LAVI correlated with a low left ventricular ejection fraction, large left ventricle systolic and diastolic dimensions and an enlarged LA size. In conclusion, change of LAVI is useful parameter to predict subsequent adverse cardiac event in AMI patients. Post-AMI echocardiographic evaluation of LAVI provides important prognostic information that is significantly greater than that obtained from clinical and laboratory parameters alone. The purpose of this study is to assess the relationship between left atrial (LA) size and outcome after acute myocardial infarction (AMI) in patients undergoing primary percutaneous coronary intervention (PCI) and to evaluate dynamic changes in LA size during long-term follow-up. Echocardiographic analyses were performed on 253 AMI patients (174 male and 79 female, 65.4 ± 13.7 yr) undergoing PCI. These subjects were studied at baseline and at 12 months. Clinical follow-up were done at 30.8 ± 7.5 months. We assessed LA volume index (LAVI) at AMI-onset and at 12-month. Change of LAVI was an independent predictor of new onset of atrial fibrillation or hospitalization for heart failure (P = 0.002). Subjects who survived the 12-month period displayed an increased LAVI mean of 1.86 ± 4.01 mL/m2 (from 26.1 ± 8.6 to 28.0 ± 10.1 mL/m2, P < 0.001). The subject group that displayed an increased LAVI correlated with a low left ventricular ejection fraction, large left ventricle systolic and diastolic dimensions and an enlarged LA size. In conclusion, change of LAVI is useful parameter to predict subsequent adverse cardiac event in AMI patients. Post-AMI echocardiographic evaluation of LAVI provides important prognostic information that is significantly greater than that obtained from clinical and laboratory parameters alone. KCI Citation Count: 4 The purpose of this study is to assess the relationship between left atrial (LA) size and outcome after acute myocardial infarction (AMI) in patients undergoing primary percutaneous coronary intervention (PCI) and to evaluate dynamic changes in LA size during long-term follow-up. Echocardiographic analyses were performed on 253 AMI patients (174 male and 79 female, 65.4 ± 13.7 yr) undergoing PCI. These subjects were studied at baseline and at 12 months. Clinical follow-up were done at 30.8 ± 7.5 months. We assessed LA volume index (LAVI) at AMI-onset and at 12-month. Change of LAVI was an independent predictor of new onset of atrial fibrillation or hospitalization for heart failure (P = 0.002). Subjects who survived the 12-month period displayed an increased LAVI mean of 1.86 ± 4.01 mL/m(2) (from 26.1 ± 8.6 to 28.0 ± 10.1 mL/m(2), P < 0.001). The subject group that displayed an increased LAVI correlated with a low left ventricular ejection fraction, large left ventricle systolic and diastolic dimensions and an enlarged LA size. In conclusion, change of LAVI is useful parameter to predict subsequent adverse cardiac event in AMI patients. Post-AMI echocardiographic evaluation of LAVI provides important prognostic information that is significantly greater than that obtained from clinical and laboratory parameters alone.The purpose of this study is to assess the relationship between left atrial (LA) size and outcome after acute myocardial infarction (AMI) in patients undergoing primary percutaneous coronary intervention (PCI) and to evaluate dynamic changes in LA size during long-term follow-up. Echocardiographic analyses were performed on 253 AMI patients (174 male and 79 female, 65.4 ± 13.7 yr) undergoing PCI. These subjects were studied at baseline and at 12 months. Clinical follow-up were done at 30.8 ± 7.5 months. We assessed LA volume index (LAVI) at AMI-onset and at 12-month. Change of LAVI was an independent predictor of new onset of atrial fibrillation or hospitalization for heart failure (P = 0.002). Subjects who survived the 12-month period displayed an increased LAVI mean of 1.86 ± 4.01 mL/m(2) (from 26.1 ± 8.6 to 28.0 ± 10.1 mL/m(2), P < 0.001). The subject group that displayed an increased LAVI correlated with a low left ventricular ejection fraction, large left ventricle systolic and diastolic dimensions and an enlarged LA size. In conclusion, change of LAVI is useful parameter to predict subsequent adverse cardiac event in AMI patients. Post-AMI echocardiographic evaluation of LAVI provides important prognostic information that is significantly greater than that obtained from clinical and laboratory parameters alone. The purpose of this study is to assess the relationship between left atrial (LA) size and outcome after acute myocardial infarction (AMI) in patients undergoing primary percutaneous coronary intervention (PCI) and to evaluate dynamic changes in LA size during long-term follow-up. Echocardiographic analyses were performed on 253 AMI patients (174 male and 79 female, 65.4 ± 13.7 yr) undergoing PCI. These subjects were studied at baseline and at 12 months. Clinical follow-up were done at 30.8 ± 7.5 months. We assessed LA volume index (LAVI) at AMI-onset and at 12-month. Change of LAVI was an independent predictor of new onset of atrial fibrillation or hospitalization for heart failure ( P = 0.002). Subjects who survived the 12-month period displayed an increased LAVI mean of 1.86 ± 4.01 mL/m 2 (from 26.1 ± 8.6 to 28.0 ± 10.1 mL/m 2 , P < 0.001). The subject group that displayed an increased LAVI correlated with a low left ventricular ejection fraction, large left ventricle systolic and diastolic dimensions and an enlarged LA size. In conclusion, change of LAVI is useful parameter to predict subsequent adverse cardiac event in AMI patients. Post-AMI echocardiographic evaluation of LAVI provides important prognostic information that is significantly greater than that obtained from clinical and laboratory parameters alone.
Author	Jeong, Myung Ho Kim, Jun Young Kim, Cheol hwan Cho, Jang Hyun Kim, Kye Hun Mun, Jae Hyun Yun, Myung Ho Yoon, Hyun Ju Park, Jae Yeong Kim, Dong Han Kim, Su Hyun Choi, Seung
AuthorAffiliation	1 Division of Cardiology, Department of Internal Medicine, St. Carollo Hospital, Suncheon, Korea 3 The Brain Korea 21 Project, Chonnam National University, Gwangju, Korea 2 The Heart Center, Chonnam National University Hospital, Gwangju, Korea
AuthorAffiliation_xml	– name: 1 Division of Cardiology, Department of Internal Medicine, St. Carollo Hospital, Suncheon, Korea – name: 3 The Brain Korea 21 Project, Chonnam National University, Gwangju, Korea – name: 2 The Heart Center, Chonnam National University Hospital, Gwangju, Korea
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CitedBy_id	crossref_primary_10_1111_cpf_12689 crossref_primary_10_1097_HCO_0000000000000085 crossref_primary_10_1097_RTI_0000000000000228 crossref_primary_10_1016_j_echo_2022_12_010 crossref_primary_10_3904_kjm_2014_86_1_33 crossref_primary_10_15829_1560_4071_2019_11_16_21 crossref_primary_10_1053_j_jvca_2014_06_005 crossref_primary_10_1097_MD_0000000000005338 crossref_primary_10_2459_JCM_0000000000000155 crossref_primary_10_3923_pjbs_2013_1936_1942 crossref_primary_10_1136_openhrt_2014_000223
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Snippet	The purpose of this study is to assess the relationship between left atrial (LA) size and outcome after acute myocardial infarction (AMI) in patients...
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SubjectTerms	Aged Angioplasty, Balloon, Coronary Echocardiography Female Follow-Up Studies Heart Atria - diagnostic imaging Heart Atria - pathology Heart Atria - physiopathology Humans Male Middle Aged Myocardial Infarction - diagnostic imaging Myocardial Infarction - pathology Myocardial Infarction - physiopathology Myocardial Infarction - therapy Original Prognosis Time Factors 의학일반
Title	Prognostic Value of Left Atrium Remodeling after Primary Percutaneous Coronary Intervention in Patients with ST Elevation Acute Myocardial Infarction
URI	https://www.ncbi.nlm.nih.gov/pubmed/22379332 https://www.proquest.com/docview/926152832 https://pubmed.ncbi.nlm.nih.gov/PMC3286768 https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001637766
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