Predictive Value of Left Ventricular Diastolic Parameters on Type and Severity of Acute Coronary Syndrome
Mustafa Enes Demirel1, Nuri Aydin Kama2, Beliz Oztok Tekten1, Kaan Celik1, Tamer Colak11Department of Emergency Medicine, Bolu Abant Izzet Baysal University Faculty of Medicine, Bolu, Turkey, 2Department of General Surgery , Faculty of Medicine, Bolu Abant Izzet Baysal University, Bolu, Turkey
Objectives: Coronary artery disease is the most common cardiovascular disease and is associated with high rates of mortality and morbidity. The first impaired echocardiographic parameter in acute ischemia is diastolic function and systolic dysfunction occurs later. In our study, we aimed to evaluate the predictive value of left ventricular diastolic parameters on type and severity of acute coronary syndromes. Methods: The study was prospectively performed by including 60 patients, who applied to our hospital with complaints of chest pain. 12 –lead ECG was performed for all patients. In order to make diastolic function staging, echocardiography was performed by a cardiologist. After receiving a diagnosis, patients were assessed with statistical analyses regarding their echocardiographic results. Results: According to echocardiography results of patients included in the study, normal function was observed in 25 patients; impaired relaxation in 21; pseudonormal pattern in 7 and restrictive pattern in 7. According to the diagnosis of the patients, 26 patients were diagnosed with nonspecific chest pain. 27 patients were diagnosed as having NSTEMI and 7 patients were diagnosed as having STEMI. There was no correlation between the echocardiographic results of our patients and the diagnoses they have been received. Conclusion: Although diastolic parameters have many uses to evaluate diagnosis, prognosis and mortality of acute coronary syndromes, there was no significant difference between the groups in our study. The most likely reason for this is the inadequate number of patients in some groups. Keywords: Acute coronary syndrome, diastolic function, echocardiography
Cite This Article
Demirel M, Kama N, Oztok Tekten B, Celik K, Colak T. Predictive Value of Left Ventricular Diastolic Parameters on Type and Severity of Acute Coronary Syndrome. EJMI. 2020; 4(1): 66-72
Corresponding Author: Mustafa Enes Demirel