Medical Journal of the Islamic Republic Of Iran

en Heart Failure and Echocardiography Derived Myocardial Wall Stress Link in Diabetic Cases with Acute Myocardial Infarction Managed by Revascularization Cardiology Cardiology Original Research Original Research Background: Diabetes is associated with left ventricular remodeling. Myocardial wall stress is a measurable factor connected to the ventricular breadth and force and is related to myocardial thickness; it can be measured by echocardiography. The present study aimed to assess the link between heart failure (HF) and echocardiography-derived myocardial wall stress in diabetic patients with ST elevation myocardial infarction (STEMI) who were managed with revascularization.    Methods: This study was a comparative prospective study that took place between February 2022 and February 2023. It included 100 diabetic patients presented with STEMI and managed by percutaneous coronary intervention (PCI). Patients were selected from the cardiology departments at Al-Azhar University Hospital, Damietta, Egypt. During the hospital stay, patients were checked for HF symptoms and signs. They were also observed for 3 months after discharge for detection of HF. Those who did not develop HF were assigned to group I, and those with HF were assigned to group II.     Results: The mean value of end-systolic wall stress (ESWS) was 77.09 ± 12.22 and 97 ± 13.44, and the mean value of end-diastolic wall stress (EDWS) was 12.61 ± 2.76 and 15.87 ± 2.86 in groups I and II respectively, with significant differences between the 2 groups. The cutoff point to detect HF was 88 KPa for ESWS and 13.5 KPa for EDWS, with a sensitivity of 70% and 79% and a specificity of 80% and 61% for ESWS and EDWS, respectively.    Conclusion: Elevated left ventricle (LV) myocardial stress is related to increased HF in diabetic patients whose HF was managed by PCI after STEMI. LV wall stress is a potentially helpful risk stratification tool using routine echocardiography to determine the treatment plane according to the risk status.   Heart Failure, Myocardial Wall Stress, Acute Myocardial Infarction, Revascularization 10 15 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-8222-4&slc_lang=en&sid=1 Elshazly Abdul khalek Elshazlycardiology@mail.com 200319475328460088747 0009-0000-3501-0215 No Department of Cardiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt & King Abdulaziz Specialist hospital, Taif, Saudi Arabia Hamouda Abdel-Khalek El-Bahnasy ddr.hamouda@yahoo.com 200319475328460088748 200319475328460088748 Yes Department of Cardiology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt Mohamad Alshahat Omar cardiol@ymail.com 200319475328460088749 200319475328460088749 No Department of Cardiology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt Mohamed Ibrahim Elraghy Mohamedelraghy2@gmail.com 200319475328460088750 200319475328460088750 No Department of Cardiology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt Tarek Ahmed Ahmed Dabash tarekcardio@live.com 200319475328460088751 200319475328460088751 No Department of Cardiology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt Mahmoud S. Berengy drmsberengy@mail.com 200319475328460088752 200319475328460088752 No Department of Internal Medicine, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt Elsayed Abozid drelsayedabozid@mail.com 200319475328460088753 0009-0002-2728-0287 No Department of Internal Medicine, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt Muhammad Saad Reihan reihancardio@gmail.com 200319475328460088754 200319475328460088754 No Department of Cardiology, Faculty of Medicine, Al-Azhar University, Damietta, Egypt & Department of Medicine, Medicine Program, Batterjee Medical College, Jeddah 21442, Saudi Arabia