ACUTE MYOCARDIAL INFARCTION TIME COURSE & PROGNOSTIC VALUE OF LATE POTENTIALS AFTER THEOMBOLYTIC THERAPY IN

Abstract

Thirty patients with acute myocardial infarction were included in 1 I this study. They were reccuited from CCU at Benha University Hospital i

during the period from May 1995 till April 1997.

I I I They were classified into two groups, group (I) which included;

I fifteen patients who received thrombolytic therapy and the traditional 1 I therapy of acute myocardial infarction, group (II) which included fifteen!

patients, who received traditional therapy alone. /

Exclusion criteria:

1- Systemic diseases as renal failure, other cardiac diseases as pericardia!;

patient who received antiarrhythmic drugs.

2- Patients who had cardiomegaly or manifestation of heart failure.

3- Patients with bundle branch block in the ECG.

All patients were subjected to the following:

• Careful history taking and thorough clinical examination.

• Plain chest x-ray postero-anterior and lateral views.

• Laboratory examination included blood urea and serum creatinine I to exclude those with kidney dysfunction, serum CPK, to diagnose I acute myocardial infarction. 1 I • Resting electrocardiogram to diagnose acute transmural anterior /

myocardial infarction.