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Title

Echocardiographic evaluation of post MI patients with consistent ST segment elevation who underwent angiography: a follow up study

مجله بین المللی پزشکی رضوی، دوره: 9، شماره: 3
Year: 1400
COI: JR_RIJO-9-3_011
Language: EnglishView: 33
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Authors

Bentolhoda Panjalizadeh - Bentolhoda Panjalizadeh, MD Resident of Cardiology, Department of Cardiology, Faculty of Medicineof Medicine, Mashhad University of Medical Sciences, Mashhad, Iran( corresponding author). Email: Pa
Mohsen Moohebati - Mohsen Mohebati, MD Cardiologist, associated professor of cardiology, Department of Cardiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Email: MouhebatiM@mums.a

Abstract:

Introduction: Percutaneous intervention(PCI) is an accepted method of reperfusion in patients with acute ST-segment elevation myocardial infarction (STEMI). Establishing coronary blood flow during angiography does not always result in proper cardiac circulation. There are many factors related to patient outcomes after primary PCI. ST-segment resolution (STSR) is one of these factors that can be achieved noninvasively and indicates reperfusion. However, the relationship between STSR and echocardiographic findings is not widely studied. The aim of the present study is to evaluate electrocardiogram (ECG) and echocardiography findings in post-STEMI patients undergoing PCI. Materials and methods: A total of ۳۴۰ patients who had STEMI and underwent successful PCI were chosen by convenience sampling and enrolled in this follow up study. After considering the exclusion criteria, ۱۲-lead ECG was performed on each patient at ۶۰min, ۹۰min, ۱۲۰min, ۲۴ h and ۲ months after PCI. Additionally,a transthoracic echocardiogram (TTE) was performed after PCI, and ۲ additional TTEs were performed—one each at ۲۴ hpost-PCI and ۲ months after PCI. ST-segment resolution was evaluated in every ECG, and the results were compared with the TTE findings. Results: The mean±SD for the time duration between the onset of symptoms and calling EMS, the door-to-balloon time, and the time duration between the first medical staff visit andangioplasty were ۱۱۴.۴±۵۶.۶۳ min, ۳۵.۵۸±۴.۴۳ min and ۶۰.۵۸±۴.۴۳ min, respectively. Ejection fraction and end systolic volume in patients with ST-segment resolution greater than ۳۰% at ۶۰min, ۹۰min, ۱۲۰min and ۲۴ h after PCI were significantly higher than that in patients with resolution lower than ۳۰%. This finding was not observed ۲ months after PCI. Conclusion: While delays in managing patients with STEMI had favorable outcomes in our center in contrast to similar studies, attempts should be made to reduce these delays. STSR greater than ۳۰% at ۹۰min and ۱۲۰min after successful PCI in patients with STEMI is significantly related with higher ejection fractions and lower end-systolic volumes. However, if the STSR occurs after ۲۴ hours, then these patients are more likely to have lower ejection fractionsand larger end-systolic volumes.

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This Paper COI Code is JR_RIJO-9-3_011. Also You can use the following address to link to this article. This link is permanent and is used as an article registration confirmation in the Civilica reference:

https://civilica.com/doc/1262915/

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Panjalizadeh, Bentolhoda and Moohebati, Mohsen,1400,Echocardiographic evaluation of post MI patients with consistent ST segment elevation who underwent angiography: a follow up study,https://civilica.com/doc/1262915

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The specifications of the publisher center of this Paper are as follows:
Type of center: علوم پزشکی
Paper count: 8,097
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