Two- Dimensional Speckle Tracking Echocardiography After Primary Percutaneous Coronary Intervention

The Role of Two- Dimensional Speckle Tracking Echocardiography in Prediction of Remodeling and Major Adverse Cardiovascular Events in ST Elevation Myocardial Infarction After Primary Percutaneous Coronary Intervention

ST-segment elevation myocardial infarction (STEMI) is a major cause of morbidity and mortality worldwide. In spite of decrease in acute and long-term mortality following STEMI in parallel with more use of reperfusion therapy, such as primary percutaneous coronary intervention (PPCI), modern antithrombotic therapy, and secondary prevention, mortality remains considerable. Reduced EF is a well-known predictor of increased short and long term major adverse cardiovascular events MACE :( heart failure, stroke and death)

Inclusion Criteria:

• ST elevation myocardial infarction patients after primary percutaneous coronary intervention

Exclusion Criteria:

• Previous myocardial infarction.
• Sever or haemodynamically significant (associated with chamber dilation) valvular heart diseases.
• Previous heart failure.
• Previous cerebrovascular strokes.
• Atrial fibrillation.
• Severe comorbidities as severe renal impairment, hepatic or respiratory failure.
• Bad equality views which affects accurate speckle tracking imaging.