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Abstract A ur 111YO ardial infarction i ”till a ma~or publich alth probl m de ”pie ttl impr trid in diagnosis and mana gem Ilt. Fnnhermor , the early and accurate diagnosis v ith the proper management of this major vent i all important challenge for impr ving the outcome and survix a] of rhi _yndrome (Ryan et at., 1999). The linical out 111 f Tll •..ocardial infarction i d I rmin d larg 1)’ b infarct ize, writ 11is influenced by ev ral factors, that i th xtent of area at ri k, collet ral flow development, m acardia] metabolic d mand, and duration of complete corona artery occlu ion (ClIristianet at; 1995). The abilit to predict the exact ire of 0 clu i .n. f infarct r bled artery by a non-inva ive method hortly after the admi ion to the ho piral ma h Ip the clinician ill e timating the at risk and planning therapeutic intervention. This i important e .pecially for anterior wall acute myocardialinfarction b cau proximal 1 ft ant rior dec riding coronar artery occlusion ha a poor progno 1 (1’amllr((el «1., 1995). Be an e the number branch proximal t the ire 0 C ronary artery OCCb.l sion is gen rally related 10 infar t iz (Lee JT t at 19’81). Pari nts \ ith occlu ion of the left anterior de rending COl”Ol1.<’UY artery proxima] to both the first septa] and the first diagonal branch ma benefit most fr0111 early reperfu ion therapy (Ma ami Kosnge et «L,.2001). III grad f I haemia can b d tid b th relation. bet en the QR omplex and S’f-.segment on the admis ion eIeclrocardiogrnm.(JJattlnahe N et,«I.,2001). |