TY - JOUR T1 - Predictors and prognostic value of left atrial remodelling after acute myocardial infarction JF - Open Heart JO - Open Heart DO - 10.1136/openhrt-2014-000223 VL - 2 IS - 1 SP - e000223 AU - Kasper Kyhl AU - Niels Vejlstrup AU - Jacob Lønborg AU - Marek Treiman AU - Kiril Aleksov Ahtarovski AU - Steffen Helqvist AU - Henning Kelbæk AU - Lene Holmvang AU - Erik Jørgensen AU - Kari Saunamäki AU - Helle Søholm AU - Mads J Andersen AU - Jacob E Møller AU - Peter Clemmensen AU - Thomas Engstrøm Y1 - 2015/06/01 UR - http://openheart.bmj.com/content/2/1/e000223.abstract N2 - Purpose Left atrial (LA) volume is a strong prognostic predictor in patients following ST-segment elevation myocardial infarction (STEMI). However, the change in LA volume over time (LA remodelling) following STEMI has been scarcely studied. We sought to identify predictors for LA remodelling and to evaluate the prognostic importance of LA remodelling.Methods This is a subgroup analysis from a randomised clinical trial that evaluated the cardioprotective effect of exenatide treatment. A total of 160 patients with STEMI underwent a cardiovascular MR (CMR) 2 days after primary angioplasty and a second scan 3 months later. LA remodelling was defined as changes in LA volume or function from baseline to 3 months follow-up. Major adverse cardiac events were registered after a median of 5.2 years.Results Adverse LA minimum volume (LAmin) remodelling was correlated to the presence of hypertension, larger infarct size by CMR, higher peak troponin T, larger area at risk and adverse left ventricular (LV) remodelling. LA maximum volume (LAmax) remodelling was correlated to larger infarct size by CMR, higher peak troponin T, larger area at risk, larger LV mass, impaired LV function and adverse LV remodelling. Kaplan-Meier and Log Rank analyses showed that patients in the highest tertiles of LAmin or LAmax remodelling are at higher risk (0.030 and p=0.018).Conclusions After a myocardial infarction, LA remodelling reflects a parallel ventricular-atrial remodelling. Infarct size is a major determinant of LA remodelling following STEMI and adverse LA remodelling is associated with an unfavourable prognosis. ER -