الفهرس 
Coronary anatomy:
Myocardial Infarction Related to Stent Thrombosis:Only 14 pages are availabe for public view
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Abstract
Summary
The study was designed with the objective of comparing the
effect of Streptokinase-based pharmacoinvasive strategy as opposed to
primary angioplasty in patients with STEMI on left ventricular systolic
function by measuring Global and regional longitudinal strains using 2-
D speckle tracking echocardiography at cardiology department, Tanta
University.
The study was conducted on 50 patients that were divided into 2
groups. group 1 consisted of 25 patients that had primary PCI as a
reperfusion therapy & group 2 consisted of 25 patients who had
thrombolytic therapy followed by coronary angiography with possibility
for PCI. In the second group, coronary angiography was done within 3 –
24 hrs.
It was shown that primary angioplasty fares better than
streptokinase-based pharmacoinvasive strategy in terms of post
revascularization LV function which is a strong predictor of adverse
outcomes, even in patients without failure or shock at presentation.
Given the fact that 80% of the patients in the pharmacoinvasive
arm had patent culprit vessel with TIMI III 3 flow at the time of
angiogram, it is possible that the benefits of primary angioplasty extend
beyond those attributable to the re-establishment of flow in the culpri