ECHOCARDIOGRAPHIC CHARACTERISTICS OF LEFT VENTRICULAR REMODELING AND ITS PROGNOSTIC SIGNIFICANCE IN THE DEVELOPMENT OF COMPLICATIONS IN POST-MYOCARDIAL INFARCTION PATIENTS

Abstract

Left ventricular (LV) remodeling following myocardial infarction (MI) represents a complex structural and functional adaptation process associated with adverse clinical outcomes. This study aimed to evaluate echocardiographic characteristics of LV remodeling and determine their prognostic significance in predicting post-infarction complications. A cohort of post-MI patients was assessed using transthoracic echocardiography, focusing on LV geometry, systolic and diastolic function, and myocardial deformation parameters. The findings demonstrate that pathological remodeling patterns, particularly eccentric hypertrophy and reduced ejection fraction, are strongly associated with increased risk of heart failure, arrhythmias, and recurrent ischemic events. Advanced echocardiographic indices, including global longitudinal strain (GLS), showed superior predictive value compared to conventional parameters. Early identification of adverse remodeling may improve risk stratification and guide therapeutic strategies.