Volume 23 Issue 12
Dec.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(12): 2109-2113
LI Jingliang, ZHANG Jihong, CHEN Fang, LIU Wenjun. Predictive value of myocardial mechanical parameters of spot tracking stratified strain technique on the short-term prognosis after PCI for myocardial infarction[J]. Chinese Journal of General Practice, 2025, 23(12): 2109-2113. doi: 10.16766/j.cnki.issn.1674-4152.004303
Citation: LI Jingliang, ZHANG Jihong, CHEN Fang, LIU Wenjun. Predictive value of myocardial mechanical parameters of spot tracking stratified strain technique on the short-term prognosis after PCI for myocardial infarction[J]. Chinese Journal of General Practice, 2025, 23(12): 2109-2113. doi: 10.16766/j.cnki.issn.1674-4152.004303
shu

Predictive value of myocardial mechanical parameters of spot tracking stratified strain technique on the short-term prognosis after PCI for myocardial infarction

doi: 10.16766/j.cnki.issn.1674-4152.004303
  • 1.

    Department of Ultrasound, Huanghe Sanmenxia Hospital, Sanmenxia, Henan, 472000, China

Funds:

 LHGJ20210126

  • Received Date: 2024-12-27
    Available Online: 2026-03-13
    Abstract
  •   Objective  Speckle tracking imaging (STI) stratified strain technique was used to detect the myocardial mechanics parameters of patients with myocardial infarction (MI), and its predictive value for the short-term prognosis after percutaneous coronary intervention (PCI) was explored.  Methods  From June 2022 to October 2023, 180 MI patients (MI group) and 40 healthy patients (control group) undergoing PCI in Sanmenxia Hospital of the Yellow River were selected. MI patients were divided into two groups according to short-term prognosis, and receiver operating characteristic (ROC) curves were analyzed to evaluate the predictive value of myocardial mechanical parameters on short-term prognosis after PCI.  Results  The left ventricular ejection fraction, the global medial, middle, and outer longitudinal strains of the left ventricle (GLS-endo, GLS-mid, GLS-epi), and the annulus inward, middle, and outer layers (GCS-endo, GCS-mid, GCS-epi) in the MI group were lower than those in the control group, and the left ventricular systolic volume and end-diastolic volume were higher than those in the control group (P < 0.05). The overall longitudinal strain of the left ventricle and the inward, middle, and outer strain of the left ventricle in the poor prognosis group were lower than those in the good prognosis group (P < 0.05). Logistic regression results showed that Killip grade Ⅲ, 6-12 h vascular opening was a risk factor for poor short-term prognosis, and high levels of GLS-endo and GCS-endo were protective factors (P < 0.05). ROC showed that the prediction efficiency of GLS-endo and GCS-endo combination was higher than that of the single detection (Z=2.019, P=0.044; Z=2.624, P=0.006).  Conclusion  GLS-endo and GCS-endo are the influencing factors of short-term prognosis after PCI in MI patients, and their combination has a high predictive value for poor short-term prognosis.

     

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    • References(21)
  • [1]
    SAGRIS M, ANTONOPOULOS A S, THEOFILIS P, et al. Risk factors profile of young and older patients with myocardial infarction[J]. Cardiovasc Res, 2022, 118(10): 2281-2292. doi: 10.1093/cvr/cvab264
    [2]
    SAITO Y, OYAMA K, TSUJITA K, et al. Treatment strategies of acute myocardial infarction: updates on revascularization, pharmacological therapy, and beyond[J]. J Cardiol, 2023, 81(2): 168-178. doi: 10.1016/j.jjcc.2022.07.003
    [3]
    FRAMPTON J, ORTENGREN A R, ZEITLER E P. Arrhythmias after acute myocardial infarction[J]. Yale J Biol Med, 2023, 96(1): 83-94. doi: 10.59249/LSWK8578
    [4]
    丁平, 楚曌涵, 郭晓峰, 等. 正念减压式抗阻训练对急性心肌梗死PCI术后患者心功能及冠脉微循环的影响研究[J]. 医药论坛杂志, 2024, 45(13): 1434-1438.

    DING P, CHU Z H, GUO X F, et al. Effect of mindfulness-based stress reduction resistance training on cardiac function and coronary microcirculation in patients with acute myocardial infarction after PCI[J]. Journal of Medical Forum, 2024, 45(13): 1434-1438.
    [5]
    李慧君, 李思, 白旭鹏, 等. 沙库巴曲缬沙坦对急性ST段抬高型心肌梗死PCI术后心功能影响的临床观察[J]. 北京医学, 2023, 45(3): 193-197.

    LI H J, LI S, BAI X P, et al. Clinical Observation on the effect of sacubitril/valsartan on cardiac function after PCI in acute ST-elevation myocardial infarction[J]. Journal of New Medicine, 2023, 45(3): 193-197.
    [6]
    YUDA S. Current clinical applications of speckle tracking echocardiography for assessment of left atrial function[J]. J Echocardiogr, 2021, 19(3): 129-140. doi: 10.1007/s12574-021-00519-8
    [7]
    MORARIU V I, ARNAUTU D A, MORARIU S I, et al. 2D speckle tracking: a diagnostic and prognostic tool of paramount importance[J]. Eur Rev Med Pharmacol Sci, 2022, 26(11): 3903-3910.
    [8]
    MANDOLI G E, BORRELLI C, CAMELI M, et al. Speckle tracking echocardiography in heart failure development and progression in patients with apneas[J]. Heart Fail Rev, 2022, 27(5): 1869-1881. doi: 10.1007/s10741-021-10197-4
    [9]
    中华医学会心血管病学分会, 中华心血管病杂志编辑委员会. 急性ST段抬高型心肌梗死诊断和治疗指南[J]. 中华心血管病杂志, 2015, 43(5): 380-393.

    Chinese Society of Cardiology, Editorial Board of Chinese Journal of Cardiology. Guideline for diagnosis and treatment of patients with ST-elevation myocardial infarction[J]. Chinese Journal of Cardiology, 2015, 43(5): 380-393.
    [10]
    中华医学会心血管病学分会介入心脏病学组, 中国医师协会心血管内科医师分会血栓防治专业委员会, 中华心血管病杂志编辑委员会. 中国经皮冠状动脉介入治疗指南(2016)[J]. 中华心血管病杂志, 2016, 44(5): 382-400.

    Interventional Cardiology Group, Chinese Society of Cardiology, Chinese Medical Association Branch of Cardiovascular Physicians, Thrombus Prevention and Treatment Committee, Chinese Journal of Cardiology Editorial Committee. Chinese Guidelines for percutaneous coronary intervention (2016)[J]. Chinese Journal of Cardiology, 2016, 44(5): 382-400.
    [11]
    董扬, 张芬, 王文标, 等. 老年急性心肌梗死患者PCI和非PCI治疗预后比较[J]. 中华全科医学, 2017, 15(4): 721-723. doi: 10.16766/j.cnki.issn.1674-4152.2017.04.053

    DONG Y, ZHANG F, WANG W B, et al. Comparison of prognosis between PCI and non-PCI treatment in elderly patients with acute myocardial infarction[J]. Chinese Journal of General Practice, 2022, 15(4): 721-723. doi: 10.16766/j.cnki.issn.1674-4152.2017.04.053
    [12]
    NISHIHIRA K, KURIYAMA N, KADOOKA K, et al. Outcomes of elderly patients with acute myocardial infarction and heart failure who undergo percutaneous coronary intervention[J]. Circ Rep, 2022, 4(10): 474-481. doi: 10.1253/circrep.CR-22-0048
    [13]
    王志伟, 王真真, 刘畅, 等. 排除国际标准化比值的终末期肝病模型评分对急性心肌梗死后室间隔穿孔患者行经皮介入封堵术后预后的预测价值[J]. 中华实用诊断与治疗杂志, 2023, 37(2): 156-161.

    WANG Z W, WANG Z Z, LIU C, et al. Value of model for end-stage liver disease excluding international normalized ratio to the prediction of prognosis of post-myocardial infarction ventricular septal rupture after percutaneous transcatheter closure[J]. Journal of Chinese Practical Diagnosis and Therapy, 2023, 37(2): 156-161.
    [14]
    邓冰晴, 王开权, 李金国, 等. 三维超声斑点追踪技术定量评估维持性血液透析患者左心室旋转的价值[J]. 中华实用诊断与治疗杂志, 2018, 32(1): 91-93.

    DENG B Q, WANG K Q, LI J G, et al. Value of three-dimensional ultrasound speckle tracking technique to the quantitative evaluation of left ventricular rotation in patients receiving maintenance hemodialysis[J]. Journal of Chinese Practical Diagnosis and Therapy, 2018, 32(1): 91-93.
    [15]
    SADE L E, JOSHI S S, CAMELI M, et al. Current clinical use of speckle-tracking strain imaging: insights from a worldwide survey from the European Association of Cardiovascular Imaging (EACVI)[J]. Eur Heart J Cardiovasc Imaging, 2023, 24(12): 1583-1592. doi: 10.1093/ehjci/jead170
    [16]
    崔秀秀, 董彧, 王颖, 等. 三维斑点追踪技术对无心肌梗死冠心病三支血管病变患者左心室功能的评价[J]. 中国医师杂志, 2022, 24(5): 739-744.

    CUI X X, DONG Y, WANG Y, et al. Three-dimensional speckle tracking echocardiography in evaluating left ventricular function in patients with triple vessel coronary artery disease without myocardial infarction[J]. Journal of Chinese Physician, 2022, 24(5): 739-744.
    [17]
    赵瑞环. 超声斑点追踪技术评价急性心梗PCI前后心肌力学改变[D]. 太原: 山西医科大学, 2018.

    ZHAO R H. Evaluation of myocardial mechanical changes before and after PCI by ultrasonic speckle tracking technique[D]. Taiyuan: Shanxi Medical University, 2018.
    [18]
    米佳, 王佳强, 闫娟. 二维斑点追踪超声心动图在评价冠脉多支病变患者左心功能中的作用[J]. 中国医师杂志, 2019, 21(3): 401-405, 409.

    MI J, WANG J Q, YAN J. The role of two-dimensional speckle tracking echocardiography in evaluating left ventricular function of patients with multi-vessel coronary artery disease[J]. Journal of Chinese Physician, 2019, 21(3): 401-405, 409.
    [19]
    GAO Q, LIU P, LV T T, et al. Utility of speckle-tracking echocardiography for predicting atrial fibrillation following ischemic stroke: a systematic review and meta-analysis[J]. Int J Cardiovasc Imaging, 2022, 38(8): 1771-1780. doi: 10.1007/s10554-022-02570-7
    [20]
    ZHOU F O, YUAN H, SUN J D, et al. Two-dimensional speckle tracking imaging cardiac motion-based quantitative evaluation of global longitudinal strain among patients with coronary heart disease and functions of left ventricular ischemic myocardial segment[J]. Int J Cardiovasc Imaging, 2024, 40(2): 351-359.
    [21]
    HATORI M, SAKAKURA K, TANIGUCHI Y, et al. Factors associated with in-hospital death in patients with Killip class 3 acute myocardial infarction[J]. Int Heart J, 2021, 62(4): 756-763. doi: 10.1536/ihj.21-078
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