Comparison between triggered and non triggered myocardial infarction and relation to short term prognosis | ||||
| Zagazig University Medical Journal | ||||
| Article 35, Volume 28, Issue 6.1, November 2022, Page 256-262 PDF (419.86 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2020.27355.1798 | ||||
 View on SCiNiTO | ||||
| Author | ||||
radwa mohamed khalil 
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| cardiology department faculty of medicine zagazig university | ||||
| Abstract | ||||
| Aim: compare between triggered versus non-triggered myocardial infarction and the relation to short term prognosis in patients of either group (MACE during hospital course). Patients and methods: study included 110 consecutive patients with with Acute coronary syndrome (NESTEMI&STEMI) submitted for coronary angiography for assessment of severity of coronary artery disease then data were collected for all patients before and after performing Coronary Angiography including history taking of traditional risk factors and triggering factors, physical examination , ECG,l echocardiography .after coronary angiography syntax and gensini score were calculated for assessement of severity of coronary artery disease Results: potential trigger was identified in triggering group .Physical exertion was found to be the most dominant trigger( 32.7%) followed by emotional stress (20%) and respiratory infection (18.2%),fatty meal (16.4%) ,sexual intercourse (5.5%),drug abuse (3.6%) and finally both traffic jam and witnessing car accident (1.8%). Non-triggered MI patients were older, and more likely to have co-morbidities. triggered MI patients showed a higher rate of single vessel CAD (43.6% vs. 25.5%, P | ||||
| Keywords | ||||
| myocardial infarction; CAD; major adverse cardic event; potential trigger | ||||
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