Evaluation of left ventricular function and mass after acute myocardial infarction: short term study

ABSTRACT

This work studied 30 patients with extensive, uncomplicated first attack of acute transmural myocardial infarction [AMI]. The patients were classified into two groups Group A [conventional therapy group] included 15 patients received the conventional medical therapy of AMI [nitrates, beta blockers, antiplatelets, heparin and a tranquilizer], while group B [combined therapy group] included 15 patients received the conventional therapy plus converting enzyme inhibitor [12.5-25 mg captopril TTS] started on admission to CCU and continued for six months after AMI. All patients were examined and investigated on admission to CCU, predischarge, three months and six months after AMI. On each sitting analysis of left ventricular function indices [systolic and diastolic], left ventricular wall motion and wall motion score index [LVWM and WMSI], left ventricular mass [LVM] and mass index [LVMI] were measured by echo-Doppler. The results were collected and statistically analyzed