Background: primary percutaneous coronary intervention PCI is the treatment of
choice in civilized countries for acute myocardial infarction, the aim of the treatment here
is the revascularization as soon as possible. Patients and methods: it is re
trospective study
of 133 patients of acute MI have been divided into two subgroups. The first subgroup has
been treated with streptokinase infusion, and the other subgroup has beet treated by PCI.
We monitored the patients within hospitalization , reinfarction, mortality, cardiogenic
shock, heart failure, also we recorded the time needed to apply the method of treatment and
Timi score by diagnostic cardiac catheterization after applying the treatment.
Aim of study: to compare between streptokinase and PCI in our hospitals to know
which way is better in which we can give the best medical care for this critical patients.
Results: 63 patients undergo to pci and 70 patients undergo to streptokinase therapy.
Streptokinase group had higher rates in mortality for noncardiac reasons 100%,
cardiogenic shock 60% , reinfarction 81%, mortality for cardiac reasons 80%, while it was
faster in applying the treatment and equal to pci in timi score. While pci group has higher
rated in hospitalization for cardiac reasons 70% and in cases that has new congestive heart
failure 63%, and nearly equal to streptokinase group in timi score.
Conclusion: pci was better in mortality and cardiogenic shock and reinfarction than
streptokinase but it was worse in hospitalization for cardiac reasons and congestive heart
failure cases . pci was too late than streptokinase in applying the treatment . we notice that
the two methods of treatment was nearly equal in timi score.
Introduction: The cardiogenic chock is the most cause of death following to acute
myocardial infarction (IMA) ,it occurs( 10%) in patients who are hospitalized in soins
intensive for acute myocardial infarction
Lot of patient with acute myocardial
infarction develops cardiogenic shock after
arriver to hospital
The cardiogenic chock with STEMI (7.5%) is more than its with NSTEMI (2.5%)
The cardiogenic chock occurs in diabetic patients two field more than non diabetic
patient may the prognosis is the same
Study methods: our study is retrospective has been done in soins intensive in
University Alassad hospital in Lattaquie
It includes all patients admitted for acute myocardial infarction pendant the period
from January 2014 to January 2016
Results :The percentage of cardiogenic shock in our study is( 12%) .(29.4%)of them
are arrived to hospital with cardiogenic shock while( 70.6%) developed cardiogenic shock
pendant their hospitalization
The responsible pathologies of cardiogenic shock were as following: left ventricular
dysfunction (58%) isolated right ventricular shock( 24% ) acute mitral valve insufficiency
(11%),septa l interventricular rupture(5%)
We studied 67 cases of left ventricular aneurysm following a myocardial
infarction through 1993 to 2002.
22 Patients had only aneurysmectomy
45 Patients had aneurysmectomy + CABG + Mitral surgery.
Death percentage in the first year after surgery
was 8.9 %.
The good clinical and haemodynamical results are due to the clear
indication of surgery on patients who had more than 25% of the LVDV
involved by aneurysm.
Study has been made on 121 patients affected by myocardial infarction ( MI ) in
Damascus university hospitals whereas the patients were divided in tow groups :
the first group contained 60 patients treated traditionally without captopril.
the seco
nd group contained 61 patients treated traditionally and by captopril
these patients were examined by Echo – Doppler during the acute phase and
after six months of MI to realize the effect of captopril on contractility and
function of left ventricular (LV) .