000			03558cam a2200349 a 4500
003			EG-GiCUC
005			20250223031716.0
008			170412s2016 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.11.09.Ph.D.2016.Ib.S
100	0		_aIbrahim Mahmod Mohamed
245	1	0	_aSYNTAX score as a predictor of angiographic no-reflow in patients with ST segment elevation myocardial infarction treated with primary percutaneous coronary intervention / _cIbrahim Mahmod Mohamed ; Supervised Hatem Elatroush , Dalia Ragab , Mohamed Fawzy
246	1	5	_aدراسة قدرة مقياس سينتاكس على التنبؤ بظاهرة عدم عودة سريان الدم بالشرايين التاجية بعد قسطرة القلب التداخلية الطارئة في مرضي الاحتشاء القلبي الحاد
260			_aCairo : _bIbrahim Mahmod Mohamed , _c2016
300			_a228 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine
520			_aObjectives: The SYNTAX score (SXscore) has emerged as a reproducible angiographic tool to quantify the extent of coronary artery disease based on the location and complex-ity of each lesion. The aim of this study was to evaluate whether the SXscore is an independent predictor of no-reflow phenomenom and long-term cardiovascular outcomes in patients presented with acute ST-segment elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (pPCI). Methods: A total of 760 patients with acute STEMI who were subjected to pPCI. Patients were categorized according to their TIMI flow grade into: normal flow (TIMI 3) 657 patients (86.4%) and noreflow (TIMI 0,1,2) 103 patients (13.6%) and according to Syntax scores into: mild (0-22){uF0E0} 292 patients who constituted 38.4% of the study group, moderate (23-32) {uF0E0} 338 patients who constituted 44.5% of the study group, severe (>32) {uF0E0} 130 patients who constituted 17.1% of the study group. Results: There were significant differences among the normal flow and noreflow groups with respect to age, basal glucose levels, and the incidences of diabetes mellitus, Killip class, onset of presentation, TIMI risk score and previous use of statins. There were increasing rates of culprit left anterior descending lesion (P < .001). No-reflow phenomenon was correlated to SYNTAX score, (r value .682, P value <.001).At longterm follow-up, all- cause mortality, non-fatal myocardial infarction, stroke, rehospitalization due to heart failure, and the need of revascularization were significantly more frequent among the patients in the noreflow group and highest SXscore. In multi-variate analysis, after including the SXscore as a numerical variable into the model, every point of increase was determined as an independent predictor for long-term mortality (hazard ratio [HR] 1.8, 95% confidence interval [CI] 1.139-2.95, P .013) and for overall major adverse cardiac events (MACEs; HR 1.44, 95% CI 1.33-1.56, P < .001)
530			_aIssued also as CD
653		4	_aAcute coronary syndromes
653		4	_aNoreflow
653		4	_aSYNTAX score
700	0		_aDalia Ragab , _eSupervisor
700	0		_aHatem Elatroush , _eSupervisor
700	0		_aMohamed Fawzy , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShaima _eCataloger
942			_2ddc _cTH
999			_c60659 _d60659