الفهرس يوجد فقط 14 صفحة متاحة للعرض العام
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المستخلص
This study was carried out in cardiology department, Zagazig University from September 2003 to December 2004.This study included 50 patients with ischaemic heart disease underwent elective first PTCA. These patients included 36 male (72%) and 14 female (28%), their ages ranged from 36 to 65 years with mean age of 50.2±8.3 years.
Patients included in our study were known to be ischaemic heart disease by coronary angiography and electrocardiographic changes of myocardial infarction and ischemia.
The patients were classified according to the previous coronary angiographic results into two groups:
1) Single vessel disease group: This group includes 34 patients
2) Two vessel disease group: This group includes 16 patients
Patients were excluded if they had: abnormal myocardial repolarization, ventricular pacing, prosthetic valve, myocarditis, poorly echogenic window, valvular heart disease, cardiomyopathy, pericardial heart disease, congential heart disease, arrhythmias, previous or failed revascularization (PTCA & stenting or CABG).
All patients were subjected to all of the following:
Complete history taking, thorough physical examination, laboratory tests, 12- lead surface ECG, plain X- ray chest and heart, echocardiographic evaluation of LV function before and within one week after PTCA, coronary angiography, coronary angioplasty, tissue Doppler evaluation of LV function before and within one week after PTCA, color kinesis evaluation of LV function before and within one week after PTCA.
The present study specifically sought to identify improvement in LV function after successful coronary angioplasty on basis of systolic and diastolic parameters using TDE and CK.