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Abstract Background Peri-procedural blood pressure changes wereinvestigated and correlated them to Major adverse cardiovascular events as predictor of outcome for pecutaneous coronary intervention patients;whether acute coronary syndrome (Unstable angina, or MI; STEMI or NSTEMI ) or scheduled for elective PCI. Methods We recruited 204 patients undergoing percutaneous coronary intervention through 2018 Resting BP was measured in a ward environment before transfer to the cardiac catheterization lab (cath lab), again in cath lab and after transfer of patient to recovery room.Patients were divided according to their peri-procedural systolic BP differences into two groups; first group [n=157]with systolic BP difference {u2264} 20 mmHg, second group[n=47] with systolic BP difference > 20 mmHg (shocked patients excluded).Also according to peri-procedural diastolic BP differences into two groups ; one with diastolic BP difference{u2264} 10 mmHg[n=139] and other with diastolic BP difference > 10 mmHg[n=65].The primary endpoints were Major adverse cardiovascular events (MACE) including all-cause mortality, cardiac death, nonfatal myocardial infarction and stroke during in-hospital stay |