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Dr. Mohamed Mahros Ali Mohamed :: Publications:

Title:
Influence of Presenting Electrocardiographic Findings on the angiographic outcome, in-hospital morbidity and mortality in patients with non-ST segment elevation myocardial infarction
Authors: Mahmoud Rezk, Amr Elnagar, Mohamed Mahrous, Tarek Abo Alazm, Osama Sanad
Year: 2015
Keywords: NSTEMI, coronary intervention , ECG
Journal: American Journal of Research Communication
Volume: Not Available
Issue: Not Available
Pages: Not Available
Publisher: Not Available
Local/International: International
Paper Link: Not Available
Full paper Mohamed Mahros Ali Mohamed_Rezk_Vol310.pdf
Supplementary materials Not Available
Abstract:

Background: the role of presenting ECG in patients with non –ST segment elevation myocardial infarction as a tool of risk stratification and a predictor of angiographic outcome,in hospital morbidity and mortality has not been well studied in contemporary practice. Methods: This is a prospective, observational, non-controlled study included four hundred patients with NSTEMI admitted at National Heart Institute from August 2014 to march 2015 and the patients were classified into 4 groups according to ECG findings: patients with ST depression, patients with T wave inversion,patients with transient ST elevation and patients with normal ECG findings,100 patient in each group of patients. all patients were subjected to demographic data analysis, clinical examination, ECG, echocardiography, coronary angiography. All patients received proper medications and proper method of revascularization with follow up of morbidity and mortality during hospital stay. Results: Patients presenting with ST-segment depression were the oldest and had the greatest prevalence of major cardiac risk factors Angiogram revealed that patients with ST-segment depression had more left main ,proximal left anterior descending, and 3- vessel coronary artery disease and underwent coronary artery bypass grafting most often. In contrast, patients with transient ST-segment elevation had 1-vessel CAD and underwent percutaneous coronary intervention the most. No ischemic changes group had the seconed most prevelance of comorbidities , risky angiographic outcomes , in-hospital morbidity and mortality. Mortality and morbidity was highest in the ST-segment depression group, then no ischemic changes, T-wave inversion then transient ST-segment followed by the elevation. Conclusion: Patients with ST-segment depression have a greater burden of comorbidities and coronary atherosclerosis and have a greater risk of in-hospital morbidity

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