Traditional left ventricular indices outperform novel cardiovascular magnetic resonance-derived left atrial parameters in predicting adverse left ventricular remodelling after ST-segment elevation myocardial infarction.

Int J CardiolMay 25, 2026 (epub)
Clinical ResearchCardiology

B Yosofi, J M Zelis, A Raafs et al.

✦ AI-curated · Sources linked

In 30 seconds

This randomized controlled trial analyzed 200 patients with anterior ST-segment elevation myocardial infarction (STEMI) to evaluate the prognostic significance of left ventricular (LV) global longitudinal strain (GLS), left atrial (LA) strain, and left atrioventricular coupling index (LACI) in predicting adverse LV remodelling. LV GLS was identified as the strongest predictor of adverse remodelling, with an odds ratio of 1.162.

Key findings

  • LV GLS was the strongest predictor of adverse LV remodelling with an odds ratio of 1.162.
  • The significance of LV GLS remained after adjusting for clinical risk factors (OR 1.216).
  • LA strain and LACI did not provide additional prognostic value.
  • LV GLS's prognostic value diminished when adjusted for infarct size and microvascular obstruction.

Why it matters

Understanding which parameters best predict adverse LV remodelling after STEMI can guide clinicians in risk stratification and management decisions, potentially improving patient outcomes.

Source

PubMed · PMID 42190763

Published in Int J Cardiol. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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