Heart Ultrasound Measure Predicting Early Problems After Heart Attack Treatment
Checks whether a heart ultrasound measure predicts early complications in people with heart attacks.
Plain-language title generated from the registry record
Registry title: LA Strain in Predicting Early Complication in STEMI After PPCI
Key facts
- Where
- Asyut, EgyptSee the site
Where in Egypt
- Assiut UniversityAsyut, EgyptNo longer taking part
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- Assiut University
- Trial code
- NCT07263282
- Record updated
- 12 December 2025
- Original description
The goal of this observational study To evaluate the predictive value of left atrial strain for in-hospital outcomes in patients with ST-segment elevation myocardial infarction undergoing PPCI. The main questions it aims to answer are:Read full original descriptionShow less
Left Atrium Strain as a Predictor of In-Hospital Outcomes in Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention
The goal of this observational study To evaluate the predictive value of left atrial strain for in-hospital outcomes in patients with ST-segment elevation myocardial infarction undergoing PPCI. The main questions it aims to answer are:
Is low parameters of left atrial strain associated early complication ? What is the correlation between LA strain parameters and conventional echocardiographic indices of left ventricular systolic and diastolic function ? Is there more affection to LA strain in certain territory over the others ? What is the correlation between LA strain and LA volume index across infarct territories ? Does LA strain Correlate with TAPSE and PASP to evaluate right-heart interactions ?
Inclusion: Adults aged ≥18 years; Diagnosed with ST-segment elevation myocardial infarction (STEMI) according to current ESC/AHA criteria; Underwent successful primary percutaneous coronary intervention (PPCI) within 12 hours of symptom onset; Sinus rhythm on admission ; Trans thoracic echocardiography (TTE) performed within 48 hours of admission with adequate image quality for speckle-tracking analysis.
Exclusion: Previous myocardial infarction or prior PCI/CABG; Prior cardiac surgery or known structural lesions that preventing reliable LA measurement; Patients known to have atrial fibrillation or other sustained supraventricular arrhythmias; Significant valvular heart disease (severe stenosis or regurgitation); Congenital heart disease or cardiomyopathy (hypertrophic, dilated, restrictive); Poor echocardiographic window preventing LA strain analysis ; Mechanical complications (e.g., papillary muscle rupture, VSD, free wall rupture); patient presenting with killip class III or IV from the start.