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العنوان
Predictors and impact of no reflow phenomenon after primary percutaneous coronary intervention in patients with acute myocardial infarction /
الناشر
Mohamed Amin Mohamed Fakher ,
المؤلف
Mohamed Amin Mohamed Fakher
هيئة الاعداد
باحث / Mohamed Amin Mohamed Fakher
مشرف / Mohamed Ashraf
مشرف / Mahmoud Elbadry
مشرف / Mohamed Dessouky
تاريخ النشر
2014
عدد الصفحات
184 P. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
العناية المركزة والطب العناية المركزة
تاريخ الإجازة
16/3/2015
مكان الإجازة
جامعة القاهرة - كلية الطب - Critical Care Medicine
الفهرس
Only 14 pages are availabe for public view

from 200

from 200

Abstract

Angiographic no - reflow during primary percutaneous coronary intervention (PCI) in patients with ST - elevated acute myocardial infarction (AMI) may result in unfavorable outcomes. The aim of our study was to investigate the clinical factors and angiographic findings that predict /no-reflow phenomenon and the outcome of AMI patients with no-reflow. A total of 627 AMI patients, who underwent primary PCI within 24 hours of symptom onset were divided into a normal flow group (thrombolysis in myocardial infarction [TIMI] flow grade 3, n = 549) and a no-reflow group ({u2264}TIMI flow grade 2, n = 78), based on cine angiograms performed during PCI. A total of 78patients (12.4%) developed no-reflow phenomenon. Univariable and multivariable logistic regressions were used to identify predictors of no reflow after primary PCI. In univariable analysis, 10 variables (age, DM, chromic pretreatment with statins, killip class, TIMI risk score of STEMI, admission glucose, TLC, time to- treatment interval, baseline TIMI flow grade, direct stenting were identified as predictors of no - reflow phenomenon