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CHA2DS2-VASc-HS Score as a Predictor of No-Reflow in Patients with ST-Segment Elevation Myocardial Infarction Who Underwent Primary Percutaneous Intervention

Al-Azhar International Medical Journal, Vol: 4, Issue: 9
2023
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Article Description

Background: Current guidelines for acute ST-segment elevation myocardial infarction (STEMI) patients declared primary percutaneous coronary intervention (PPCI) as the mainstay reperfusion strategy. However, the no-reflow phenomenon(NRP) is a major drawback. The longer ischemia lasts, the more likely NRP is to occur causing more myocardial cells damage.Aim of the Work: to correlate between the CHA2DS2VAScHS score and NPR in patient presented with STEMI and treated with PPCI.Methods: Case-control study that included one hundred patients presented with STEMI and treated with PPCI. Patients were further divided into group(A) in which patients developed no-reflow (NR) after PPCI and group(B) in which patients achieved TIMI-III flow after PPCI. CHA2DS2VAScHS score was calculated for every patient.Results: The study showed an increase in no-reflow in patients with higher CHA2DS2VAScHS score and no-reflow in STEMI patients treated with PPCI (p-value:0.000).Conclusion: CHA2DS2VAScHS score is effective in the early prediction of NPR in patients with STEMI patients managed with PPCI.

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