ABSTRACT
Background: Dyslipidemia is a modifiable risk factor for development and progression of coronary atherosclerosis. The role of dyslipidemia on the evolution of left ventricular dysfunction [LVD], heart failure [HF] and left ventricular thrombosis [LVT] following acute myocardial infarction [AMI] has not been stressed upon
Objectives: The purpose of this comparative study was to evaluate the ventricular systolic, diastotic functions and LVT in the dyslipidemic versus the non-dyslipidemic groups
Subjects and Methods: One hundred patients with firs attack AMI. We evaluated: Clinical, biochemical, alectrocardiography and echocardiographic graphic studies were undertaken
Results: The ejection fraction [EF] and fractional shortening [FS] were significantly lower with higher scores of wall motion abnormalities and increased LVT among the dyslipidemic Group
Conclusion: In patients with first attack AMI, dyslipidemia has a significant detrimental effects on left ventricular [LV] systolic function with significant higher tendency for development of LVT. These deleterious effects are more evident in males, relatively young age groups [<60 ys] and those with anterior wall AMi