الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
For ST-elevation myocardial infarction (STEMI) patients, early reperfusion via rapid percutaneous coronary intervention (PCI) or thrombolytic treatment is essential to maintain myocardial function and prevent major adverse cardiac events (MACE).
The aim of the study was to assess left ventricular global longitudinal strain as a predictor of ventricular remodeling and clinical outcomes in revascularized anterior ST-elevation myocardial infarction (STEMI) patients.
The clinical characteristics of the patient, the strategy of management, and the Standard 2D and Speckle tracking Echocardiography, overall ischemia time including pre-hospital, ED, and CCU were all described.
In order to identify MACCE or other hemodynamic issues, patients were placed under observation. To assess the clinical results of the procedure, all patients were monitored for 6 months following discharge by ECHO.
The results of our study showed that:
The study was carried on 50 consecutive patients, they were admitted to Alexandria main University Hospital Cardiology department between December 2020 to February 2022 with the diagnosis of anterior STEMI treated by primary percutaneous coronary intervention.
In the studied group, Age ranged from 31.0 – 71.0 years with mean value 54.78 ± 9.27 years. The majority of studied sample were 48 males (96%) while 2 were females (4%).
The most prevalent risk factor in our patients population was smoking with 46 of the patients (92 % being smokers) followed by dyslipidemia with 23 of the patients (46 %), regarding other risk factors 14 patients (28%) were Diabetic, 10 patients (20%) were hypertensive, 3 patients (6%) had a positive family history, 3 patients (6%) had a history of PAD and only 1 patient (2%) had a CVS.