Indici ventricolari tradizionali superano i parametri atriali cardiovascolari derivati da risonanza magnetica in prevedendo la ristrutturazione ventricolare sinistra avversa dopo infarto miocardico con elevazione del segmento ST.

BACKGROUND: Adverse left ventricular (LV) remodelling is associated with increased mortality and heart failure following ST-segment elevation myocardial infarction (STEMI). Prior studies on the prognostic value of LV global longitudinal strain (GLS), left atrial (LA) strain, and left atrioventricular coupling index (LACI) are promising, but it remains unclear which CMR-derived functional parameter is optimal. This study aimed to investigate the prognostic significance of atrial and ventricular function parameters to predict early adverse LV remodelling in patients with anterior STEMI. METHODS AND RESULTS: A post-hoc analysis of the EURO-ICE trial was performed, including 200 patients with a