Prognostic Value of Initial Left Ventricular Remodeling in Patients With Reperfused STEMI
Jose F. Rodriguez-Palomares, Jose Gavara, Ignacio Ferreira-González, Filipa Valente, César Rios, Julián Rodríguez-García, Clara Bonanad, Bruno García del Blanco, Gema Miñana, Maria Mutuberria, Julio Nuñez, José Barrabés, Artur Evangelista, Vicente Bodí and David García-Dorado
Best Definition of LV Adverse Remodeling and its Prognostic Implications
LV adverse remodeling definition with best prognostic implications includes an increase in LVEDV >15% and a concomitant reduction of LVEF >3%. However, the occurrence of LV adverse remodeling during the first 6 months of evolution post-STEMI does not add prognostic information over that provided by basal CMR. CMR = cardiac magnetic resonance; LVEDV = left ventricular end-diastolic volume; LVEF = left ventricular ejection fraction; PCI = percutaneous coronary intervention; STEMI = ST-segment elevation myocardial infarction.