A simple index to predict myocardial infarction size and adverse clinical outcome in patients with acute STEMI undergoing primary PCI
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 73, Issue 3
Abstract
<strong>Background:</strong> Early improvement of perfusion after acute MI will improve left ventricle function and decrease the infarction area, thus decreasing mortality. <strong>Methodology:</strong> 52 patients presented with acute ST segment elevation MI Who underwent primary PCI within 24 hours of presentation. All patients were subjected to full history taking, physical examination, serial ECG, cardiac enzymes, calculation of relative importance index (RII) by dividing culprit segment diameter by left anterior descending , circumflex and right coronary arteries at their proximal segments and myocardial perfusion image to detect infarction size. <strong>Results:</strong> There is significant correlation between RII and left ventricular dysfunction <strong>(p: 0.028).</strong> Significant correlation between RII and mortality are present. <strong>Conclusion:</strong> RII is significantly correlated with adverse clinical outcome in patients with acute STEMI.
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP584484
- DOI 10.12816/ejhm.2018.14090
- Views 142
- Downloads 0
Sutureless 23-gauge Versus Sutureless 20-gauge Pars Plana Vitrectomy Mohamed I .EL-Kasaby
Aim: To compare sutureless 23-gauge versus sutureless 20-gauge system for pars plana vitrectomy as regarding safety and efficacy in pars plana vitrectomy. Patients and methods: A prospective non –randomized interventiona...
Combinational Effect of 5-Flourouracil and Resveratrol against N-Nitroso-N-methyl urea Induced Colorectal Cancer
<strong>Background</strong>: colorectal cancer is considered to be the third most common cause of deaths in both men and women. The incidence of colorectal cancer cases has been rising at an alarming rate. In most cases,...
Prevalence of Glaucoma among High Myopia
<span>Background: </span><span>Glaucoma is an optic neuropathy that is characterized by the selective loss of retinal ganglion cells and their axons, which manifests as the loss of the retinal nerve fiber layer (RNFL). N...
Awareness of School Teachers about Diabetes Mellitus
<strong><em>Background: </em></strong><em>Diabetes mellitus was defined by World health Organization as a metabolic disorder which characterized by chronic hyperglycemia. It is a disease with several etiologies. It is on...
Abnormal Uterine Bleeding in Women in Child Bearing Period of Arar City, Northern Saudi Arabia
<strong>Background:</strong> Abnormal uterine bleeding (AUB) affects as many as one-third of reproductive-aged women. Women with AUB may experience pain, embarrassment and inconvenience that can have a significant impact...