Comparison between triggered and non triggered myocardial infarction and relation to short term prognosis

Document Type : Original Article

Author

cardiology department faculty of medicine zagazig university

Abstract

Aim: compare between triggered versus non-triggered myocardial infarction and the relation to short term prognosis in patients of either group (MACE during hospital course).
Patients and methods: study included 110 consecutive patients with with Acute coronary syndrome (NESTEMI&STEMI) submitted for coronary angiography for assessment of severity of coronary artery disease then data were collected for all patients before and after performing Coronary Angiography including history taking of traditional risk factors and triggering factors, physical examination , ECG,l echocardiography .after coronary angiography syntax and gensini score were calculated for assessement of severity of coronary artery disease
Results: potential trigger was identified in triggering group .Physical exertion was found to be the most dominant trigger( 32.7%) followed by emotional stress (20%) and respiratory infection (18.2%),fatty meal (16.4%) ,sexual intercourse (5.5%),drug abuse (3.6%) and finally both traffic jam and witnessing car accident (1.8%). Non-triggered MI patients were older, and more likely to have co-morbidities. triggered MI patients showed a higher rate of single vessel CAD (43.6% vs. 25.5%, P

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Zagazig University Medical Journal
Volume 28, Issue 6.1
supplement 1
November 2022
Pages 256-262

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