الفهرس 
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Abstract
I
n the setting of AMI, several factors contribute to the development of arrhythmias, the clinician has to be prepared to recognize arrhythmias and treat those that require intervention because they can exacerbate ischemia and lead to clinical instability .
Sudden cardiac death from ventricular fibrillation during myocardial infarction is a leading cause of total and cardiovascular mortality .This registry included patients who presented with ACS including ST elevation myocardial infarction, non-ST elevation myocardial infarction and unstable angina , which were studied for the incidence and pattern of arrhythmia in ACS.
In Egypt it was observed that there was increase in the number of ischemic heart disease patients and there was great difference in our patients from others in other regions of the world, the awareness of our own characteristics are important for the proper management of ACS and its complication.
So this registry was created to document baseline clinical characteristics, demographic data, risk factors, history, presentations, and its morbidity and mortality during those in- hospital stay and the clinical progress.
The objective of this research was to analyze the patient characteristics, demographic data, risk factors, presentations, clinical status, complications, characters, from investigations, like ECG, echocardiography, laboratory results, morbidity and mortality and the statistic relations for both ACS and the arrhythmias incidence and its correlation in those patients.
The study population of 400 patients admitted to cardiology department of Suez Canal University Hospital from 1 January 2009 to 31 December 2011, who were diagnosed as having ACS
Data collected from ER records included: 12 lead ECG on presentation, Laboratory investigations: cardiac markers, CBC, electrolytes, Echocardiography, management and in- hospital stay course.
The study showed that the majority of patients 79.3% were males of mean age 54.5+10 years, 70.9% were STEMI. The highest morbidity and mortality were noticed in those of STEMI 25.6%, and those of anterior myocardial involvement were 56%.