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TITLE:

THE OUTCOMES OF THE PATIENTS TREATED FIBRINOLYTIC TREATMENT FOR MYOCARDIUM WITH ST-SEGMENT ELEVATION INFARCTION (STEMI) AND CONDUCTED A CORONARY ANGIOGRAPHY

AUTHORS:

Dr Muhammad Aun Ali Khan Sial, Dr M. Awais Altaf Khan Balouch, Dr Benazeer

ABSTRACT:

Background: We intended to look at results of patients got fruitful fibrinolytic treatment (FT) for ST-section raised myocardial localized necrosis (STEMI) and performed coronary angiography (CAG) inside 24 - 72 h or after 72 h. Methods: Between March 2013 and November 2014, 76 STEMI patients got effective FT and performed CAG > 24 h remembered for the investigation. Patients were separated into two gatherings ac-cording to the time-span from FT admission to CAG performing (Group-1, 24 - 72 h (n = 29), Group-2, > 72 h (n = 47)). Our momentum research directed at Mayo Hospital, Lahore from May 2019 to April 2020. The essential end was major unfriendly cardiovascular occasions (MACE) characterized as cardiovascular passing, non-lethal myocardial localized necrosis, and cardiovascular breakdown. Results: The meantime of patients were 56 ± 11.4 years old (27.6% female). CAG performed inside mean 2.17 ± 0.38 days in the Group-1 and 2.9 ± 11.5 days in the Group 2 (P < 0.001). At present moment development (a half year), MACE rate was higher in Group-2 (21.3%) than Group-1(13.8%), however it was not measurably critical (P = 0.661). The pace of MACE was 37.9% in Group-1 and 38.3% in Group-2 (P = 0.974) in the long haul development (middle: 57 months). In general, cardiovascular death rate was 7.9%, the re-dead tissue rate was 19.7% and cardiovascular breakdown was 17.1% in long haul development, and there was no critical contrast between gatherings. Conclusion: Present examination has demonstrated that presentation of CAG after 24 h of fruitful FT, inside 24 - 74 h or > 72 h, didn't indicated any distinction in term of MACE both in short and long haul development.

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