Left ventricular (LV) remodeling is a critical determinant of morbidity and mortality following acute myocardial infarction (AMI). This study aimed to evaluate LV remodeling using echocardiography, focusing on end-diastolic volume (EDV), end-systolic volume (ESV), and ejection fraction (EF), and to determine their prognostic significance. A cohort of 150 patients who experienced first-time AMI was prospectively assessed. Echocardiographic parameters were measured within 48 hours of admission and repeated at three and six months post-AMI. The study found that increases in EDV and ESV were significantly associated with adverse cardiovascular outcomes, while preserved EF was predictive of improved survival and reduced incidence of heart failure. Multivariate analysis revealed that both EDV and ESV independently predicted post-AMI complications, including recurrent infarction and hospitalization due to heart failure. Furthermore, early echocardiographic assessment allowed for stratification of patients into high-risk and low-risk categories, facilitating timely therapeutic interventions. These findings underscore the importance of serial echocardiography in monitoring LV remodeling and guiding post-AMI management. In conclusion, EDV, ESV, and EF are valuable prognostic indicators, and their integration into routine clinical practice can improve patient outcomes by identifying individuals at elevated risk of adverse events.

Left ventricular remodeling, Acute myocardial infarction, Echocardiography, End-diastolic volume, End-systolic volume, Ejection fraction, Prognostic evaluation, Cardiac function

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