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Echocardiography for Volume Assessment in Acute Myocardial Infarction

Background Errors caused by improper volume estimation increase acute mortality rates in acute myocardial infarction (AMI). We aimed to determine volume status in AMI patients using echocardiography and to correlate the findings with clinical outcomes. Methods This cross-sectional, single-center stu...

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Autores principales: Ramteke, Satish, Kumar, Vinit, Kumar, Dhananjay, Gupta, Manish
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10685176/
https://www.ncbi.nlm.nih.gov/pubmed/38034259
http://dx.doi.org/10.7759/cureus.47946
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author Ramteke, Satish
Kumar, Vinit
Kumar, Dhananjay
Gupta, Manish
author_facet Ramteke, Satish
Kumar, Vinit
Kumar, Dhananjay
Gupta, Manish
author_sort Ramteke, Satish
collection PubMed
description Background Errors caused by improper volume estimation increase acute mortality rates in acute myocardial infarction (AMI). We aimed to determine volume status in AMI patients using echocardiography and to correlate the findings with clinical outcomes. Methods This cross-sectional, single-center study was performed at a tertiary care center in India between August 2017 and September 2020 involving AMI patients. We performed echocardiography for all patients. Parameters such as left ventricle (LV) and atrium size, LV end-diastolic pressure, inferior vena cava (IVC) size and size variation, velocity stroke volume, and velocity time integral variation were measured. B-lines were recorded by scanning 32 regions on the anterior chest in the supine position using cardiac probes of echocardiography. Results A total of 184 patients were enrolled in the study with male predominance (82.1%). The mean age of patients was 58.2 ± 10.7 years. Dilated (>2.1 cm) and collapsible (<50%) IVC, and B-lines were significantly associated with heart failure (HF) (p<0.001; r=0.87 and p<0.001; r=0.74, respectively). The area under receiver operating characteristics (AUROC) curve to diagnose HF at a cut-off value of >10 for B-lines was 0.897 (0.842-0.951). AUROC curve for IVC size in diagnosing hypovolemia was 0.063 (0.000-0.130). Conclusions Volume status based on IVC size and B-lines detected by echocardiography has a strong prognostic value in AMI patients and should be included in the routine assessment of these patients.
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spelling pubmed-106851762023-11-30 Echocardiography for Volume Assessment in Acute Myocardial Infarction Ramteke, Satish Kumar, Vinit Kumar, Dhananjay Gupta, Manish Cureus Internal Medicine Background Errors caused by improper volume estimation increase acute mortality rates in acute myocardial infarction (AMI). We aimed to determine volume status in AMI patients using echocardiography and to correlate the findings with clinical outcomes. Methods This cross-sectional, single-center study was performed at a tertiary care center in India between August 2017 and September 2020 involving AMI patients. We performed echocardiography for all patients. Parameters such as left ventricle (LV) and atrium size, LV end-diastolic pressure, inferior vena cava (IVC) size and size variation, velocity stroke volume, and velocity time integral variation were measured. B-lines were recorded by scanning 32 regions on the anterior chest in the supine position using cardiac probes of echocardiography. Results A total of 184 patients were enrolled in the study with male predominance (82.1%). The mean age of patients was 58.2 ± 10.7 years. Dilated (>2.1 cm) and collapsible (<50%) IVC, and B-lines were significantly associated with heart failure (HF) (p<0.001; r=0.87 and p<0.001; r=0.74, respectively). The area under receiver operating characteristics (AUROC) curve to diagnose HF at a cut-off value of >10 for B-lines was 0.897 (0.842-0.951). AUROC curve for IVC size in diagnosing hypovolemia was 0.063 (0.000-0.130). Conclusions Volume status based on IVC size and B-lines detected by echocardiography has a strong prognostic value in AMI patients and should be included in the routine assessment of these patients. Cureus 2023-10-30 /pmc/articles/PMC10685176/ /pubmed/38034259 http://dx.doi.org/10.7759/cureus.47946 Text en Copyright © 2023, Ramteke et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Ramteke, Satish
Kumar, Vinit
Kumar, Dhananjay
Gupta, Manish
Echocardiography for Volume Assessment in Acute Myocardial Infarction
title Echocardiography for Volume Assessment in Acute Myocardial Infarction
title_full Echocardiography for Volume Assessment in Acute Myocardial Infarction
title_fullStr Echocardiography for Volume Assessment in Acute Myocardial Infarction
title_full_unstemmed Echocardiography for Volume Assessment in Acute Myocardial Infarction
title_short Echocardiography for Volume Assessment in Acute Myocardial Infarction
title_sort echocardiography for volume assessment in acute myocardial infarction
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10685176/
https://www.ncbi.nlm.nih.gov/pubmed/38034259
http://dx.doi.org/10.7759/cureus.47946
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