Abstract

Objective: The aim of this study was to investigate that which parameters at the early period show a correlation with left ventricular ejection fraction (EF) obtained at the end of the first month in anterior acute myocardial infarction (AMI) patients undergoing successful primary percutaneous transluminal coronary angioplasty (PTCA)

Methods: 20 consecutive patients within the first 6 hours anterior AMI were include. Troponin I and CK MB samples were collected at the 6th, 16th and 24th hours after the onset of symptoms. Echocardiographic recordings were performed just before primary PTCA procedure, at 1st week and 1st month. Left ventricular (LV) diameters, LV Simpson's ejection fraction (EF), mitral annular lateral systolic velocity (MASV), wall motion score index (WMSI) was determined.

Results: EF obtained after one month showed significant negative correlations with CKMB at the 16th, and troponin I at the 16th and 24th hours, WMSI just before intervention and at the 1st week, LV diastolic diameter and systolic diameter at the 1st week, and positive correlation with MASV at the 1st week.

Conclusion: The cardiac necrosis markers at the first day and the echocardiographic parameters at the first week correlated with EF at the first month of anterior AMI patients undergoing successful primary PTCA