ISSN 1308-8734 | E-ISSN 1308-8742
Original Article
THE CORRELATION BETWEEN EARLY PERIOD PARAMETERS WITH LEFT VENTRICULAR EJECTION FRACTION AT THE END OF THE FIRST MONTH IN ACUTE MYOCARDIAL INFARCTION PATIENTS WITH UNDERGOING SUCCESSFUL PRIMARY PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY
1 Atatürk Üniversitesi Tıp Fakültesi Kardiyoloji Anabilim Dalı, Erzurum  
Eurasian J Med 2005; 37: 25-30

Key Words: Primary PTCA, Ejection fraction, Early period parameters
Abstract

Objective: The aim of this study was to investigate that which parameters at the early period show a correlation with left ventricular ejection fraction (EF) obtained at the end of the first month in anterior acute myocardial infarction (AMI) patients undergoing successful primary percutaneous transluminal coronary angioplasty (PTCA)

 

Methods: 20 consecutive patients within the first 6 hours anterior AMI were include. Troponin I and CK MB samples were collected at the 6th, 16th and 24th hours after the onset of symptoms. Echocardiographic recordings were performed just before primary PTCA procedure, at 1st week and 1st month. Left ventricular (LV) diameters, LV Simpson's ejection fraction (EF), mitral annular lateral systolic velocity (MASV), wall motion score index (WMSI) was determined.

Results: EF obtained after one month showed significant negative correlations with CKMB at the 16th, and troponin I at the 16th and 24th hours, WMSI just before intervention and at the 1st week, LV diastolic diameter and systolic diameter at the 1st week, and positive correlation with MASV at the 1st week.

Conclusion: The cardiac necrosis markers at the first day and the echocardiographic parameters at the first week correlated with EF at the first month of anterior AMI patients undergoing successful primary PTCA

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