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Abstract

EFFECT OF SOME MAJOR RISK FACTORS ON MI (STEMI) EXTENTION ASSESSED BY ECHOCARDIOGRAPHIC WALL MOTION SCORE INDEX (WMSI)

*Hassan Yahia ALI, Ahmed Saleh Al-Tayyar and Dr. Muneam M. AL-Shawk

ABSTRACT

Background: detection of common risk factors that affect the degree of infarct area in ST segment elevation MI (STEMI) which is important for prevention of extensive MI. Aims of the study: 1-To evaluate the effect of common risk factors on extension and severity of infarction in ST segment elevation MI (STEMI). Materials & Methods: The study in AL-Zahraa teaching hospital in Kerbala city (2017). There are 92 (56± 13 years old) patients and 86 (50 ± 12 years old) healthy controls are taken in this study. echocardiographic study of wall motion abnormality had been done for each one as well as serum lipid profile, history of DM, HT, obesity. three groups of patients are classified (G1, G2 &G3) according to wall motion score index (WMSI): G1 WMSI (>2) MI; G2 WMSI (1. 7-2) and G3 WMSI (<1. 7) to estimate severity of myocardial injury. Results: The study groups shown a higher prevalence of medium infarct size (WMSI 1. 7-2) than small and large infarct size which statistically revealed a significant(p<0. 05) difference between groups. Major risk factors study, as diabetes mellitus, hypertension and BMI showed that there was high significant in relation with severity of infarction (p<0. 01) assessed by WMSI. Our result revealed that there was strong relationship between (HDL) and extensive MI. The serum Total Cholesterol (TC) and Triglyceride (TG) values in patients with STEMI were higher than those of control group with highly statistical significance (p<0. 01), according to the severity of infarction (G 1, G2 and G 3). Conclusion: In patients with STEMI the effect of major risk factors give us a clue about the management and adverse prognosis of MI. echocardiographic examination of left ventricle wall motion abnormalities and calculate WMSI reveal good estimation of severity and extension of infarction.

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