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العنوان
Significance of T-Wave Changes at the Time of Reperfusion in Patients with Acute ST-Segment Elevation Myocardial Infarction Treated with Primary Percutaneous Coronary Intervention
المؤلف
Ahmed Abd El Tawab,Adham
هيئة الاعداد
باحث / Adham Ahmed Abd El Tawab
مشرف / Adel Mohammed Kamal El Etriby
مشرف / Mohamed Abdelzaher AbdAllah
الموضوع
CARDIAC ELECTRICAL ACTIVITY AND SURFACE ECG-
تاريخ النشر
2010
عدد الصفحات
109.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض القلب والطب القلب والأوعية الدموية
تاريخ الإجازة
1/1/2010
مكان الإجازة
جامعة عين شمس - كلية الطب - cardiology
الفهرس
Only 14 pages are availabe for public view

from 109

from 109

Abstract

ST- elevation myocardial infarction is by far the most serious presentation of ACAD carrying the most hazardous consequences& patients with ST elevation are triaged immediately for reperfusion therapy. It is known that the T- wave reflects the myocardial repolarization, and changes in the T-wave configuration are among the first to indicate an AMI. Data on the value of T-wave changes in the setting of primary PCI are limited. The aim of our study was to study the significance of T-wave changes in patients with acute ST-Segment elevation myocardial infarction treated with primary percutaneous coronary intervention. It was found that changes in T- wave amplitude are positively correlated with higher blush grades post procedure; and that biphasic T- wave post procedure was associated with less successful reperfusion. It also showed that Tpeak-Tend interval decreased significantly post procedure, and that this reduction is significantly correlated with successful reperfusion. Further studies are still needed to further understand value of different ECG parameters in the light of new therapeutic modalities.