LA Strain in Predicting Early Complication in STEMI After PPCI
NCT ID: NCT07263282
Last Updated: 2025-12-12
Study Results
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Basic Information
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NOT_YET_RECRUITING
135 participants
OBSERVATIONAL
2025-12-01
2027-02-01
Brief Summary
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Is low parameters of left atrial strain associated early complication ? What is the correlation between LA strain parameters and conventional echocardiographic indices of left ventricular systolic and diastolic function ? Is there more affection to LA strain in certain territory over the others ? What is the correlation between LA strain and LA volume index across infarct territories ? Does LA strain Correlate with TAPSE and PASP to evaluate right-heart interactions ?
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Detailed Description
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Therefore, the prediction and accurate assessment of in-hospital outcomes in patients have gained more research and clinical attention.
Left ventricular ejection fraction may no longer be the sole and most reliable predictor of events after a STEMI. Left atrial function may be a comprehensive marker of left-sided cardiac function, as it reflects both diastolic and systolic properties of overall cardiac function.
LA function influences left ventricular filling and cardiac output. Compromised LV function leads to reduced passive LA stretch and filling, contributing to increased LV filling pressures and a subsequent decline in LA function and compliance.
. LA strain is a measurement of atrial myocardial deformation, which is less influenced by cardiac preload and less angle-dependent compared to volumetric indices, such as the left atrial volume index and E/e' ratio.
LA strain is useful in various clinical scenarios, as predicting atrial fibrillation, diastolic dysfunction, and as a measure of LV filling pressure .
LA strain by echocardiographic speckle tracking analysis, is relatively inexpensive, non-invasive and easy to perform, so may be useful as a predictor of in-hospital outcomes.
Previous studies have demonstrated that reduced LA function is linked to clinical outcomes including all-cause mortality.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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group normal strain
group normal parameters of LA strain by 2D echocardiography
2D echocardiography
LA strain by 2D echocardiographic speckle tracking analysis
group low strain
group low parameters of LA strain by 2D echocardiography
2D echocardiography
LA strain by 2D echocardiographic speckle tracking analysis
group control
control group to provide reference for normal parameters of LA strain for age by 2D echocardiography
2D echocardiography
LA strain by 2D echocardiographic speckle tracking analysis
Interventions
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2D echocardiography
LA strain by 2D echocardiographic speckle tracking analysis
Eligibility Criteria
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Inclusion Criteria
* Diagnosed with ST-segment elevation myocardial infarction (STEMI) according to current ESC/AHA criteria
* Underwent successful primary percutaneous coronary intervention (PPCI) within 12 hours of symptom onset.
* Sinus rhythm on admission .
* Trans thoracic echocardiography (TTE) performed within 48 hours of admission with adequate image quality for speckle-tracking analysis.
Exclusion Criteria
* Patients known to have atrial fibrillation or other sustained supraventricular arrhythmias.
* Significant valvular heart disease (severe stenosis or regurgitation).
* Congenital heart disease or cardiomyopathy (hypertrophic, dilated, restrictive).
* Poor echocardiographic window preventing LA strain analysis .
* Mechanical complications (e.g., papillary muscle rupture, VSD, free wall rupture).
* Prior cardiac surgery or known structural lesions that preventing reliable LA measurement.
* patient presenting with killip class III or IV from the start
18 Years
ALL
Yes
Sponsors
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Assiut University
OTHER
Responsible Party
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Ahmed Youssef Dandrawy
principle investigator
Principal Investigators
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Doaa A Fouad, Professor
Role: PRINCIPAL_INVESTIGATOR
Assiut University
Magdy I Algowhary, Assistant Professor
Role: PRINCIPAL_INVESTIGATOR
Assiut University
Ahmed G Bakry, Assistant Professor
Role: PRINCIPAL_INVESTIGATOR
South Valley University
Locations
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Assiut university
Asyut, , Egypt
Countries
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Central Contacts
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References
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Badano LP, Kolias TJ, Muraru D, Abraham TP, Aurigemma G, Edvardsen T, D'Hooge J, Donal E, Fraser AG, Marwick T, Mertens L, Popescu BA, Sengupta PP, Lancellotti P, Thomas JD, Voigt JU; Industry representatives; Reviewers: This document was reviewed by members of the 2016-2018 EACVI Scientific Documents Committee. Standardization of left atrial, right ventricular, and right atrial deformation imaging using two-dimensional speckle tracking echocardiography: a consensus document of the EACVI/ASE/Industry Task Force to standardize deformation imaging. Eur Heart J Cardiovasc Imaging. 2018 Jun 1;19(6):591-600. doi: 10.1093/ehjci/jey042.
Nagueh SF, Smiseth OA, Appleton CP, Byrd BF 3rd, Dokainish H, Edvardsen T, Flachskampf FA, Gillebert TC, Klein AL, Lancellotti P, Marino P, Oh JK, Popescu BA, Waggoner AD. Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2016 Apr;29(4):277-314. doi: 10.1016/j.echo.2016.01.011. No abstract available.
Lang RM, Badano LP, Mor-Avi V, Afilalo J, Armstrong A, Ernande L, Flachskampf FA, Foster E, Goldstein SA, Kuznetsova T, Lancellotti P, Muraru D, Picard MH, Rietzschel ER, Rudski L, Spencer KT, Tsang W, Voigt JU. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015 Jan;28(1):1-39.e14. doi: 10.1016/j.echo.2014.10.003.
Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, Caforio ALP, Crea F, Goudevenos JA, Halvorsen S, Hindricks G, Kastrati A, Lenzen MJ, Prescott E, Roffi M, Valgimigli M, Varenhorst C, Vranckx P, Widimsky P; ESC Scientific Document Group. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018 Jan 7;39(2):119-177. doi: 10.1093/eurheartj/ehx393. No abstract available.
Ahmeti A, Bytyci FS, Bielecka-Dabrowa A, Bytyci I, Henein MY. Prognostic value of left atrial volume index in acute coronary syndrome: A systematic review and meta-analysis. Clin Physiol Funct Imaging. 2021 Mar;41(2):128-135. doi: 10.1111/cpf.12689. Epub 2021 Jan 12.
Wu H, Wang H, Wang X, Xu L, Wu J. Myocardial strain combined with clinical risk factors in the prediction of in-hospital heart failure among patients with ST-segment elevation myocardial infarction. Clin Radiol. 2024 Nov;79(11):e1304-e1311. doi: 10.1016/j.crad.2024.07.016. Epub 2024 Jul 26.
Chu AA, Wu TT, Zhang L, Zhang Z. The prognostic value of left atrial and left ventricular strain in patients after ST-segment elevation myocardial infarction treated with primary percutaneous coronary intervention. Cardiol J. 2021;28(5):678-689. doi: 10.5603/CJ.a2020.0010. Epub 2020 Feb 10.
Svartstein AW, Lassen MH, Skaarup KG, Grove GL, Vyff F, Ravnkilde K, Pedersen S, Galatius S, Modin D, Biering-Sorensen T. Predictive value of left atrial strain in relation to atrial fibrillation following acute myocardial infarction. Int J Cardiol. 2022 Oct 1;364:52-59. doi: 10.1016/j.ijcard.2022.05.026. Epub 2022 May 14.
Nagueh SF, Khan SU. Left Atrial Strain for Assessment of Left Ventricular Diastolic Function: Focus on Populations With Normal LVEF. JACC Cardiovasc Imaging. 2023 May;16(5):691-707. doi: 10.1016/j.jcmg.2022.10.011. Epub 2023 Jan 11.
Robinson S, Ring L, Oxborough D, Harkness A, Bennett S, Rana B, Sutaria N, Lo Giudice F, Shun-Shin M, Paton M, Duncan R, Willis J, Colebourn C, Bassindale G, Gatenby K, Belham M, Cole G, Augustine D, Smiseth OA. The assessment of left ventricular diastolic function: guidance and recommendations from the British Society of Echocardiography. Echo Res Pract. 2024 Jun 3;11(1):16. doi: 10.1186/s44156-024-00051-2.
Li R, Sun F, Piao S, He X, Li R, Xu L, Song G, Cong J. Left Atrial Strain and Compliance Correlate with Diastolic Dysfunction Grades and Complications during Pre-eclampsia: A Speckle-Tracking Echocardiography Study. Ultrasound Med Biol. 2021 Dec;47(12):3411-3419. doi: 10.1016/j.ultrasmedbio.2021.08.003. Epub 2021 Aug 27.
Lenselink C, Ricken KWLM, Groot HE, de Bruijne TJ, Hendriks T, van der Harst P, Voors AA, Lipsic E. Incidence and predictors of heart failure with reduced and preserved ejection fraction after ST-elevation myocardial infarction in the contemporary era of early percutaneous coronary intervention. Eur J Heart Fail. 2024 May;26(5):1142-1149. doi: 10.1002/ejhf.3225. Epub 2024 Apr 4.
Zhang L, Liu Z, Zhu Y, Wu M, Huang H, Yang W, Peng K, Zeng J. Development and validation of a prognostic model for predicting post-discharge mortality risk in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PPCI). J Cardiothorac Surg. 2024 Mar 30;19(1):163. doi: 10.1186/s13019-024-02665-3.
Abe T, Olanipekun T, Adedinsewo D, Ogunmoroti O, Udongwo N, Effoe V, Rice B, Onuorah I, Ghali JK, Mehta PK, Michos ED. Trends and Outcomes of ST-Segment-Elevation Myocardial Infarction Among Young Women in the United States. J Am Heart Assoc. 2023 Mar 7;12(5):e026811. doi: 10.1161/JAHA.122.026811. Epub 2023 Feb 27.
Other Identifiers
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left atrial strain in STEMI
Identifier Type: -
Identifier Source: org_study_id
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