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العنوان
Diagnosis of perioperative myocardial infarction by considering relationship of postoperative electrocardiogram changes and enzyme increases after coronary bypass operation/
المؤلف
Ahmed, Osama Abd El-Raouf.
هيئة الاعداد
باحث / Osama Abd El-Raouf Ahmed ;
مشرف / Galal M.Amer
مناقش / Hassan Abd El-Hady
مناقش / Ahmed Ashraf Redaa
الموضوع
Coronary artery bypass.
تاريخ النشر
1995.
عدد الصفحات
133 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب
تاريخ الإجازة
1/1/1995
مكان الإجازة
جامعة المنوفية - كلية الطب - Cardiology
الفهرس
Only 14 pages are availabe for public view

from 152

from 152

Abstract

Perioperative myocardial infarction is still a common complication of CABG surgery.It occurs in 16 % of the studied patients.
Better selection of patients and better preoperative management of risk factors I improve the results of surgery.
The extent of coronary artery disease and left ventricular dysfunction are among the important causes of PMI and operative mortality.In the present work PMI was higher in patients with decreased ejection fraction.
Diabete s,hypertesion,old age ,smnoking are no more predictor of PM!
Intraoperative variables as prolonged duration of operaflon,increased ischernic time and total perfusion time are important causes of PM[.
ECG is the most reliable and commonly used method for detection of MI; however its usefulness in the postoperative setting is limited.In the current study sensitivity was 88%.
Among cardiac enzymes ,CK-MB is a suitable predictor of PM!. In this study “sensitivity was 96%”.The duration of elevation rather than peak level should be considered.