000			03319cam a2200349 a 4500
003			EG-GiCUC
005			20250223032534.0
008			200321s2020 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.04.M.Sc.2020.Wa.T
100	0		_aWafaa Hamed Omar
245	1	0	_aTime from door to wire crossing in patients presented with st segment elevation myocardial infarction at Cairo University hospitals : _bCohort study / _cWafaa Hamed Omar ; Supervised Essam Baligh Eweis , Kareem Mahmoud Abdelhamid , Mahmoud Elsayed Saraya
246	1	5	_aبمستشفيات جامعة القاهرة ST الفترة من الباب إلى عبور السلك في مرضى احتشاء عضلة القلب مع ارتفاع قطعة ال
260			_aCairo : _bWafaa Hamed Omar , _c2020
300			_a81 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Cardiology
520			_aBackground: - Early primary percutaneous coronary intervention (PPCI) is established to be superior to thrombolytic therapy in the management of patients presented with STEMI. Door to wire crossing time is the duration elapsed between the patients with acute STEMI arrivals to the emergency department (ED) to catheter guide wire crossing the culprit lesion in catheter lab. Aim: - To calculate door to wire crossing time in patients presented with ST segment elevation myocardial infarction at Cairo University Hospitals and studying its relation to outcome. Methods: - Our study included 150 patients with STEMI at Cairo University Hospitals managed by PPCI from April 2018 to November 2018. Patients{u2019} demographics, co-morbidities, laboratory values at ED, ECG at ED, PPCI results and outcome and one-month mortality were analyzed. Time intervals from door to wire crossing were calculated and analyzed. Results: The study included 150 patients 99; (66%) of them were male, 27(84.7%) of them attended to Kars Al- Ainy Teaching Hospital (KATH) ED and 23(15.3%) of patients attended New Kasr Al- Ainy Teaching Hospital (NKATH). The overall door to wire crossing mean time was 121.73±44.93 min and was shorter in KATH compared to NKATH (117.79± 44.3 6 vs. 141.17 ± 43.73, P 0.012). The TIMI flow also was affected by the shorter door to wire crossing time in patients with TIMI 3 (P 0.06). Post-MI decompensated heart failure was developed in 23 (15.3%) of patients and 13 (8.7%) developed reperfusion arrhythmia and 22 (14.7%) patients had cardiac arrest during the hospital stay. The risk of post-MI heart failure was higher with prolonged door to wire crossing time (p {u02C2} 0.001) and the longer in hospital pre-cath time (P 0.000). After one-month follow up 7 patients died due to sudden cardiac death
530			_aIssued also as CD
653		4	_aDoor to wire crossing time
653		4	_aPrimary PCI
653		4	_aST-segment elevation myocardial infarction
700	0		_aEssam Baligh Eweis , _eSupervisor
700	0		_aKareem Mahmoud Abdelhamid , _eSupervisor
700	0		_aMahmoud Elsayed Saraya , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c77007 _d77007