Anterior Akinesis, Apical Akinesis, Left Ventricular Systolic Dysfunction, Myocardial Infarction
Conditions
Keywords
echocardiography, ST elevation myocardial infarction, Heart failure, Coronary artery disease, Cardiovascular diseases
Brief summary
The purpose of this study is to evaluate left ventricular systolic ejection fraction and anterior or apical akinesis 1 month and 3 months after a myocardial infarction treated with primary PCI to determine whether improvement at 1 month differs from improvement at 3 months.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Older than 18 years old * ST elevation myocardial infarction treated with primary PCI * Anterior or apical akinesis and left ventricular ejection fraction ≤ 45% on early echocardiography (48hours - 7 days post myocardial infarction) * Initial ECG showing at least 1 mm ST elevation in 2 leads corresponding to the same vascular territory
Exclusion criteria
* Known left ventricular systolic dysfunction before myocardial infarction * Left bundle branch block * Vital prognosis less than 6 months * Cardiogenic shock * Rescue PCI * Sub-optimal echocardiographic imaging (contrast use is allowed) * Significant valvular heart disease (moderate or severe) * Surgical revascularization * Pregnancy or breastfeeding * Incapacity to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Left ventricular ejection fraction recuperation 1 month post myocardial infarction | 1 month post myocardial infarction | Left ventricular ejection fraction recuperation 1 month post myocardial infarction as compared with the left ejection fraction 3 months post myocardial infarction |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anterior and apical akinesis recuperation 1 month post myocardial infarction | 1 month post myocardial infarction | Anterior and apical akinesis recuperation 1 month post myocardial infarction as compared with 3 months post myocardial infarction |
Countries
Canada