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Left ventricular diastolic function in acute myocardial infarction

Elnur Smajić   ORCID icon orcid.org/0000-0003-0881-9443 ; University Clinical Centre Tuzla, Tuzla, Bosna and Herzegovina
Zumreta Kušljugić ; University Clinical Centre Tuzla, Tuzla, Bosna and Herzegovina
Fahir Baraković ; University Clinical Centre Tuzla, Tuzla, Bosna and Herzegovina
Daniela Lončar ; University Clinical Centre Tuzla, Tuzla, Bosna and Herzegovina
Larisa Dizdarević-Hudić ; University Clinical Centre Tuzla, Tuzla, Bosna and Herzegovina
Katarina Kovačević ; University Clinical Centre Tuzla, Tuzla, Bosna and Herzegovina
Đani Hadžović ; University Clinical Centre Tuzla, Tuzla, Bosna and Herzegovina

Puni tekst: engleski, pdf (213 KB) str. 383-392 preuzimanja: 142* citiraj
APA 6th Edition
Smajić, E., Kušljugić, Z., Baraković, F., Lončar, D., Dizdarević-Hudić, L., Kovačević, K. i Hadžović, Đ. (2011). Left ventricular diastolic function in acute myocardial infarction. Cardiologia Croatica, 6 (12), 383-392. Preuzeto s https://hrcak.srce.hr/74632
MLA 8th Edition
Smajić, Elnur, et al. "Left ventricular diastolic function in acute myocardial infarction." Cardiologia Croatica, vol. 6, br. 12, 2011, str. 383-392. https://hrcak.srce.hr/74632. Citirano 04.07.2020.
Chicago 17th Edition
Smajić, Elnur, Zumreta Kušljugić, Fahir Baraković, Daniela Lončar, Larisa Dizdarević-Hudić, Katarina Kovačević i Đani Hadžović. "Left ventricular diastolic function in acute myocardial infarction." Cardiologia Croatica 6, br. 12 (2011): 383-392. https://hrcak.srce.hr/74632
Harvard
Smajić, E., et al. (2011). 'Left ventricular diastolic function in acute myocardial infarction', Cardiologia Croatica, 6(12), str. 383-392. Preuzeto s: https://hrcak.srce.hr/74632 (Datum pristupa: 04.07.2020.)
Vancouver
Smajić E, Kušljugić Z, Baraković F, Lončar D, Dizdarević-Hudić L, Kovačević K i sur. Left ventricular diastolic function in acute myocardial infarction. Cardiologia Croatica [Internet]. 2011 [pristupljeno 04.07.2020.];6(12):383-392. Dostupno na: https://hrcak.srce.hr/74632
IEEE
E. Smajić, et al., "Left ventricular diastolic function in acute myocardial infarction", Cardiologia Croatica, vol.6, br. 12, str. 383-392, 2011. [Online]. Dostupno na: https://hrcak.srce.hr/74632. [Citirano: 04.07.2020.]
Puni tekst: hrvatski, pdf (213 KB) str. 383-392 preuzimanja: 295* citiraj
APA 6th Edition
Smajić, E., Kušljugić, Z., Baraković, F., Lončar, D., Dizdarević-Hudić, L., Kovačević, K. i Hadžović, Đ. (2011). Dijastolička funkcija lijeve klijetke u akutnom infarktu miokarda. Cardiologia Croatica, 6 (12), 383-392. Preuzeto s https://hrcak.srce.hr/74632
MLA 8th Edition
Smajić, Elnur, et al. "Dijastolička funkcija lijeve klijetke u akutnom infarktu miokarda." Cardiologia Croatica, vol. 6, br. 12, 2011, str. 383-392. https://hrcak.srce.hr/74632. Citirano 04.07.2020.
Chicago 17th Edition
Smajić, Elnur, Zumreta Kušljugić, Fahir Baraković, Daniela Lončar, Larisa Dizdarević-Hudić, Katarina Kovačević i Đani Hadžović. "Dijastolička funkcija lijeve klijetke u akutnom infarktu miokarda." Cardiologia Croatica 6, br. 12 (2011): 383-392. https://hrcak.srce.hr/74632
Harvard
Smajić, E., et al. (2011). 'Dijastolička funkcija lijeve klijetke u akutnom infarktu miokarda', Cardiologia Croatica, 6(12), str. 383-392. Preuzeto s: https://hrcak.srce.hr/74632 (Datum pristupa: 04.07.2020.)
Vancouver
Smajić E, Kušljugić Z, Baraković F, Lončar D, Dizdarević-Hudić L, Kovačević K i sur. Dijastolička funkcija lijeve klijetke u akutnom infarktu miokarda. Cardiologia Croatica [Internet]. 2011 [pristupljeno 04.07.2020.];6(12):383-392. Dostupno na: https://hrcak.srce.hr/74632
IEEE
E. Smajić, et al., "Dijastolička funkcija lijeve klijetke u akutnom infarktu miokarda", Cardiologia Croatica, vol.6, br. 12, str. 383-392, 2011. [Online]. Dostupno na: https://hrcak.srce.hr/74632. [Citirano: 04.07.2020.]

Sažetak
Left ventricular (LV) diastolic function disorder is one of the first LV function disorders, which is detected before the regional disorder of contractility, ECG changes and chest pains, which significantly changes the prognosis of patients with acute coronary syndrome. The disorder of LV relaxation is often detected in patients with acute myocardial infarction (AMI), a disorder of LV stiffness in patients with anterior wall AMI. The most pronounced diastolic abnormality caused by myocardial ischemia is prolonged and delayed myocardial relaxation. Echocardiographic techniques allow the evaluation of diastolic filling of the both atria and ventricles.
The aim of this study was to determine the LV diastolic function in patients with AMI and compare the diastolic function variables in the groups of patients with anteroseptal and inferior wall AMI.
The prospective trial included 60 patients (37 men; mean age 59 ± 10) with first AMI who were divided into two groups according to the localization of ECG changes (anteroseptal vs. inferior wall). LV diastolic function variables were monitored that were analyzed by continuous (mitral flow) and pulsed color Doppler echocardiography technique (flow in the pulmonary veins and mitral ring motions).
The value ​​of velocity of early diastolic filling was not statistically significantly different in the both groups, but it was lower compared to the average value of the velocity of the early diastolic filling of LV in healthy persons. In the maximum velocity of systolic pulmonary venous flow, a statistically significant difference was recorded (p <0.05) among the groups of patiets. In the first group it was 0.48±0.10, while in the second group it was 0.57 ± 0.14. Maximum velocity of diastolic pulmonary venous flow in the first group was 0.37±0.09, while in the second group it was 0.43±0.16. The ratio of maximum velocity of systolic and diastolic pulmonary venous flow was slightly higher than in healthy individuals. In patients with AMI, diastolic dysfunction of the LV relaxation disorder type prevails (70%). In the examined group of patients with anteroseptal AMI, diastolic dysfunction of the relaxation disorder type prevails, that is, a statistically significant difference compared to the preserved diastolic function and diastolic dysfunction of the LV restriction disorder type (p <0.05) is recorded.
Finally, in case of anteroseptal and inferior wall AMI, the parameters of diastolic function are changed, that is, all three degrees of LV diastolic dysfunction are present. Diastolic dysfunction of myocardial relaxation disorder type prevails. In anteroseptal wall AMI, diastolic dysfunction of relaxation disorder type is present, that is, there is a good correlation with infarcated zone in relation to the inferior wall.

Ključne riječi
acute myocardial infarction; echocardiography; diastolic function

Hrčak ID: 74632

URI
https://hrcak.srce.hr/74632

[hrvatski]

Posjeta: 4.735 *