Change in left ventricular end diastolic pressure [lvedp] as apredictor of adverse effect in patients undergoing primary pci

Background: in acute myocardial infarction [MI], decreasing compliance of the left ventricle is directly associated with prognosis

Patients and Methods: 30 patients presented with acute ST segment elevation MI Who underwent primary PCI within 12 hours of presentation. All patients were subjected to full history taking, physical examination, serial ECG, cardiac enzymes and measurement of LVEDP just before and after Primary PCI using end hole catheter

Results: post revascularization left ventricular end diastolic pressure [LVEDP] decreased. There is significant correlation between LVEDP change and left ventricular dysfunction [p value:0.014]. Significant correlation between LVEDP and mortality are present

Conclusion: change in LVEDP measured just pre and post primary PCI are significantly correlated with adverse clinical outcome in patients with acute STEMI

simple index to predict myocardial infarction size and adverse clinical outcome in patients with acute stemi undergoing primary pci

Background: Early improvement of perfusion after acute MI will improve left ventricle function and decrease the infarction area, thus decreasing mortality

Methodology: 52 patients presented with acute ST segment elevation MI Who underwent primary PCI within 24 hours of presentation. All patients were subjected to full history taking, physical examination, serial ECG, cardiac enzymes, calculation of relative importance index [RII] by dividing culprit segment diameter by left anterior descending , circumflex and right coronary arteries at their proximal segments and myocardial perfusion image to detect infarction size

Results: There is significant correlation between RII and left ventricular dysfunction [p: 0.028]. Significant correlation between RII and mortality are present

Conclusion: RII is significantly correlated with adverse clinical outcome in patients with acute STEMI

Predictive value of leucocyte count, c-reactive protein, ultrasonography and laparoscopy in the diagnosis of acute appendicitis in children

In a prospective study, the mean preoperative leucocyte count, C- reactive protein [CRP] value, ultrasonographic outer appendiceal diameter and diagnostic laparoscopy [when needed] in 120 children suspected of having acute appendicitis were studied. The patients were divided into three groups. Diagnostic laparoscopy allowed the correction of the preoperative suspected diagnosis of acute appendicitis in seven patients in group I, thus preventing an unnecessary appendectomy. The study also revealed a significant increase in the leucocytic count and appendiceal diameter in groups II and III compared with group I. Moreover, there was a significant increase in CRP in group III compared with groups I and II