THE RELATIONSHIP BETWEEN VENTRICULAR ARTERIAL COUPLING AND CLINICAL, PARACLINICAL CHARACTERISTICS IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
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Abstract
Objectives: To investigate the relationship between ventricular arterial coupling (VAC) and clinical, paraclinical characteristics in patients with acute myocardial infarction (AMI). Methods: We enrolled 136 acute MI patients undergoing percutaneous coronary intervention at Cardiovascular Intervention Department – 103 Military Hospital from 02/2021 to 04/2023 and 50 control subjects without coronary artery disease. The patients had blood tests and echocardiography measured the VAC within 24 hours after admission. Result: Ea and VAC in the AMI group were significantly higher than in the control group (3.2 vs. 2.74 mmHg/ml and 0,61 vs. 0,54; p < 0,05), Ees had no difference between two groups (p > 0.05). VAC was inversely correlated with age (r = -0,175, p < 0.05). Ees in the AMI group with heart failure was lower than that in the group without heart failure (4.93 vs. 5.6, p < 0.05), whereas VAC in the AMI group with heart failure was higher than that in the group without heart failure (0.68 vs. 0.54, p < 0.05). Ees was positively correlated with LVEF (r = 0.177, p = 0.039), VAC was inversely correlated with LVEF (r = -0.568, p < 0.001). Conclusion: Ea and VAC in the AMI group were higher than in the control group. VAC was inversely correlated with age and LVEF, Ees was positively correlated with LVEF. VAC in the AMI group with heart failure was higher than that in the group without heart failure.
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Keywords
Acute myocardial infarction, ventricular arterial coupling
References
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