الفهرس | Only 14 pages are availabe for public view |
Abstract Increasing attention has been devoted to diastolic function after AMI, and there is growing evidence indicating a strong association between diastolic dysfunction and adverse outcome. Many studies have shown that a restrictive LV filling after AMI is also an independent predictor of worse survival. A .Sestili et al., believed that the associations between a restrictive filling and viability indices help to understand the mechanism linking the mitral inflow pattern to remodeling and survival after AMI. The aim of the study was to determine if restrictive mitral inflow pattern successfully predicts lack of viable myocardium after a first acute myocardial infarction. This study included ( 50 ) patients referred to Ain Shams University Hospital with first acute ST segment elevation myocardial infarction within 8 hours of the attack and given thrombolytic therapy within the period between August 2008 and June 2009. All patients included in the study were subjected to the following: 1. Full history taking with special emphasis on risk factors of coronary artery disease. 2. Full general examination and local examination of the heart, chest 3. Serial twelve leads ECG tracing. 4. Laboratory investigations including: fasting and 2 hours post-prandial blood sugar level, lipid profile, and serial cardiac enzymes. |