A simple index to predict myocardial infarction size and adverse clinical outcome in patients with acute STEMI undergoing primary PCI | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 26, Volume 73, Issue 3, October 2018, Page 6354-6358 PDF (541.92 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2018.14090 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Osama Amine Abd El Hamed  ; Wael Samy; Akram Abdelbary; Tarek Elgohary; Alia Abd-El-Fattah
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| Critical Care Department, Faculty of Medicine, Cairo University | ||||
| Abstract | ||||
| Background: Early improvement of perfusion after acute MI will improve left ventricle function and decrease the infarction area, thus decreasing mortality. Methodology: 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. Results: There is significant correlation between RII and left ventricular dysfunction (p: 0.028). Significant correlation between RII and mortality are present. Conclusion: RII is significantly correlated with adverse clinical outcome in patients with acute STEMI. | ||||
| Keywords | ||||
| Simple index; STEMI; Primary PCI | ||||
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