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العنوان
RELIABILITY OF MYOCARDIAL BLUSH GRADE IN ASSESSING MYOCARDIAL VIABILITY AND PREDICTING LEFT VENTRICULAR FUNCTION AFTER PRIMARY INTERVENTION
المؤلف
HAMDY MOHAMED HASSANEIN,AMIRA
هيئة الاعداد
باحث / AMIRA HAMDY MOHAMED HASSANEIN
مشرف / Ramzy Hamed El Mawardy
مشرف / Mohamed Ayman Mostafa Saleh
مشرف / Mohamed Gamal Ali
مشرف / Salah El Din H. Demerdash
مشرف / Nereen Kalifa Okasha
الموضوع
 Invasive Assessment of Myocardial Reperfusion-
تاريخ النشر
2009
عدد الصفحات
214.p:
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
أمراض القلب والطب القلب والأوعية الدموية
تاريخ الإجازة
1/1/2009
مكان الإجازة
جامعة عين شمس - كلية الطب - Cardiology
الفهرس
Only 14 pages are availabe for public view

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from 213

Abstract

• MBG is a feasible and applicable method that has the advantage of simple ”on-line” determination of myocardial perfusion immediately after angioplasty in the catheterization laboratory, while still in the therapeutic window during which measures may be taken to improve a suboptimal result.
• In addition to variable correlations with other perfusion markers at time of hospitalization among patients with acute STEMI, MBG showed a strong correlation with early (30-day) SPECT measures of myocardial perfusion, infarct size as well as left ventricular function (EF by echocardiogram)
• In this study, MBG predicted myocardial viability detected in 30-day PCI SPECT study with a sensitivity of 96.8% and a specificity of 68.4%.
• Despite our limited sample volume, our study showed that myocardial perfusion as assessed by MBG is positively correlated to LV function and myocardial viability.
• The main finding of our study is that MBG after primary angioplasty for acute myocardial infarction is an important prognostic feature and should be added to the commonly used TIMI flow grading to define successful angiographic reperfusion with primary angioplasty for acute myocardial infarction.
• Early and sustained restoration of flow into the infracted myocardium is the aim of reperfusion therapies for acute myocardial infarction.
• Angiographic studies of reperfusion therapies should assess myocardial perfusion as well as flow in the epicardial infarct–related coronary artery.