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Corresponding Author

Moaz Mohammed Elsayed Mahmoud Rady

Document Type

Original Article

Abstract

Background: The significance of evaluation of the hemodynamic status of patients with acute coronary syndromes is well established. The approach for non-invasive evaluation of LVFP and the role of left atrium phasic functional assessment is not well studied in ACS patients.

Aim of the work: 1) Evaluation of the significance of the diagnostic algorithm recommended by the ESC for evaluation of LVFP in patients with ACS. 2) Assessment of correlation between left atrium parameters assessed by different echocardiography modalities and the invasively measured LVFP.

Patients and methods: A cross sectional analytical study enrolled 54 patients with ACS admitted at Al-Azhar University Hospitals for PCI. LVFP was measured invasively after PCI. Full Echocardiography study including left atrium functions assessment by (volumetric, speckle and Doppler techniques) was done within 24 hours after PCI. LVFP was non-invasively estimated according to last ASE/ EACVI recommendations.

Results: Invasively measured Left ventricular filling pressure (LVFP) showed significant correlation with LA reservoir function either measured by volumetric method (r= 0.567, P value

Conclusion: Our results indicate that currently recommended AHA/EACVI approach has limited value in ACS patients. The assessment of left atrium reservoir function may provide an adequate surrogate for elevated LVFP.

Keywords

ACS; LVFP; left atrium functions

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