Online ISSN: 2515-8260

Keywords : and burden of thrombus. Percutaneous Coronary Intervention

Thrombus Occurrence in Patients with Non-STElevation Myocardial Infarctionand Associated Risk factors

Mahmoud Abd El Hakim Mostafa; Ragab Abd-Elsalam Mahfouz; Abd-Elsalam Al-Sayed Hussein; Waleed Salem Mohamed El-Awady

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 2107-2115

Background:Acute coronary syndrome (ACS) can be divided into subgroups of ST-segment
elevation myocardial infarction (STEMI), non-ST-segment elevation myocardial infarction
(NSTEMI), and unstable angina. ACS carries significant morbidity and mortality and prompt
diagnosis.Thrombus encountered in the setting of acute coronary syndromes has been
correlated with acute complications during the percutaneous coronary intervention (PCI) such
as no-reflow, acute coronary occlusion, and long-term complicationsthat occurs later such as
stent thrombus.
Aim:To identify the electrocardiographic changes and the possible complications associated
with thrombus formation in patients with Non-ST Segment Elevation Myocardial Infarction
Methods:In this sample, 66 patients were enrolled in 2 groups; Group I (n = 33) represented the
low level of thrombus; Group II (n = 33) represented the high level of thrombus. The degree of
stenosis and coronary flux by thrombolysis in myocardial infarction (TIMI), grade, was
assessed in all patients to assess the associated high thrombus plaque disruption or formation.
Results:Class I and II have a mean age respectively 62.21±9.51 and a mean age of 66.67±9.14.
The global systolic average LV (AGS) in Group I and II relative to Group III was slightly lower.
Regarding the Killip class, the main difference between the groups was statistically
significantwith a P-value of 0.001, regarding ECG Changes (ST depression and t wave
inversion), the main difference between the groups was statistically non-significant with p
values 0.726 and 0.403 respectively.