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العنوان
Tissue Doppler assessment of myocardial functions in patients following PCI and correlation with minimal tissue damage during PCI
الناشر
medicine/Cardiology
المؤلف
Ahmed Mahmoud Sabry El-Shamy
هيئة الاعداد
باحث / Ahmed Mahmoud Sabry El-Shamy
مشرف / Ramzy Hamed
مشرف / Sayed Abdel Hafiz
مشرف / Khaled Elmeniawy
مشرف / Tarek Khairy
تاريخ النشر
2007
عدد الصفحات
469
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
أمراض القلب والطب القلب والأوعية الدموية
تاريخ الإجازة
1/1/2007
مكان الإجازة
جامعة عين شمس - كلية الطب - Cardiology
الفهرس
Only 14 pages are availabe for public view

from 330

from 330

Abstract

Cardiac troponin-I (Tn-I) is a sensitive and specific marker for detecting myocardial damage. Elevation of cardiac troponin was detected in 30% to 40% of patients undergoing catheter based coronary interventions. This rate may be higher than CK-MB elevations which has been reported in 5% to 26% of patients undergoing percutaneous transluminal coronary angioplasty. Myocardial necrosis after coronary angioplasty has been traditionally based on CK-MB level (Shmuel et al., 2000).
Previous studies suggested that CK-MB elevation after coronary angioplasty is associated with increased late mortality. However other studies found no adverse long term clinical outcomes in patients with CK-MB elevations post coronary angioplasty (Baims et al., 1998). It was found that conjoint elevation of Tn-I and CK-MB levels after coronary angioplasty are associated with increased risk of major in-hospital complications but have no incremental risk of intermediate-term clinical outcomes (Shmuel et al., 2000).