The Role of Cardiac Magnetic Resonance in Assessment of Myocardial Contractile Function After Exercise Training Based Cardiac Rehabilitation Program in Anterior ST-Elevated Myocardial Infarction Patients Treated with Primary Percutaneous Coronary Intervention.

Abstract

ur study aimed to evaluate the change in the regional left ventricular systolic function before and after CRprogram using cardiac magnetic resonance imaging for patients with anterior STEMI undergoing primary PCI. This study was a prospective clinical trial conducted on thirty-two adult patients from cardiology clinic in Ain Shams University hospital in cooperation with cardiology and radiology departments between May 2018 and May 2019, were assigned randomly into control group n:16 without an exercise (six patients droped with follow up) mean age 50± 8 years, weigh 84 ±17 kg, height 175±7.7 cm and EF was 36.62 ±14.23 and to training group n:16 with 3-months exercise training program, the mean age, weight, height and EF respectively were 50.19±8.68 years, 82.69±16 kg, 172.81±7.74 cm, 36.62±14.32%. These patients were more than one month post anterior MI who followed up for three months. The training group underwent modified trade meal exercise Bruce protocol before and after the CR program. The procedure was described to the patients and informed written consent was taken. In order not to affect the results of the study, patients on beta-blockers or other rate reducing drugs continued using the same doses during the study period. All patients had a full history and thorough physical examination, complete lipid profile, liver enzyme, exercise