PREDICTORS OF LEFT VENTRICULAR THROMBUS IN PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ANTERIOR ST SEGMENT ELEVATION MYOCARDIAL INFARCTION

Main Article Content

Arafa G. Ibrahim
Esam Ahmed khalil
Mahmoud F. Elshahat

Keywords

Left Ventricular Thrombus, St Segment Elevation Myocardial Infarction, Primary Percutaneous Coronary Intervention

Abstract

Background: Acute ST-segment elevation myocardial infarction (STEMI) is linked to substantial morbidity and death. The purpose of this research was to investigate the frequency and probability for LV thrombus (LVT) in acute anterior STEMI patients receiving primary percutaneous intervention (PPCI).


Methods:  In our research, 200 patients over the age of 20 who had acute anterior STEMI and received PPCI. It was an observational study. Demographic data, clinical examination, electrocardiogram (ECG), laboratory, two-dimensional echocardiography (2D ECHO), coronary angiography and PPCI data of all patients were collected.


Results: The prevalence of LVT was 15 (7.5%) of all the study population. On univariate regression analysis, D-dimer, poor EF, E/A ratio, time for deceleration, E/e', E', WMSI and post primary PCI impaired flow less than TIMI 2 flow were significant predictors of the incidence of thrombus. On multiple regression analysis, only D-dimer, E/A ratio, E/e' and WMSI were significant predictors of the incidence of LVT.


Conclusions: LVT is a frequent complication of patient presented with anterior STEMI. The prevalence of LVT was 15 (7.5%) of all the study population. Poor LV EF, post primary PCI impaired flow less than TIMI 2 flow, WMSI, E/A ratio, time for deceleration, E', E/e' and D-dimer was associated was higher prevalence of LVT.


 


Keywords: Left Ventricular Thrombus; St Segment Elevation Myocardial Infarction; Primary Percutaneous Coronary Intervention

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