Mansour, K., Al-daydamony, M., Khidewy, M., Hussein, E. (2022). Relation between Admission Troponin Level and TIMI Flow, Myocardial Tissue Perfusion and Clinical Outcomes after Primary Percutaneous Coronary Intervention. The Egyptian Journal of Hospital Medicine, 88(1), 3051-3057. doi: 10.21608/ejhm.2022.244536
Kamal Saad Mansour; Mohammad Moustafa Al-daydamony; Mahmoud Korashy Mahmoud Khidewy; Ekhlas Hussein. "Relation between Admission Troponin Level and TIMI Flow, Myocardial Tissue Perfusion and Clinical Outcomes after Primary Percutaneous Coronary Intervention". The Egyptian Journal of Hospital Medicine, 88, 1, 2022, 3051-3057. doi: 10.21608/ejhm.2022.244536
Mansour, K., Al-daydamony, M., Khidewy, M., Hussein, E. (2022). 'Relation between Admission Troponin Level and TIMI Flow, Myocardial Tissue Perfusion and Clinical Outcomes after Primary Percutaneous Coronary Intervention', The Egyptian Journal of Hospital Medicine, 88(1), pp. 3051-3057. doi: 10.21608/ejhm.2022.244536
Mansour, K., Al-daydamony, M., Khidewy, M., Hussein, E. Relation between Admission Troponin Level and TIMI Flow, Myocardial Tissue Perfusion and Clinical Outcomes after Primary Percutaneous Coronary Intervention. The Egyptian Journal of Hospital Medicine, 2022; 88(1): 3051-3057. doi: 10.21608/ejhm.2022.244536
Relation between Admission Troponin Level and TIMI Flow, Myocardial Tissue Perfusion and Clinical Outcomes after Primary Percutaneous Coronary Intervention
Background: Cardiac troponin is a structural protein within the cardiac myocytes and is a highly sensitive and specific marker to diagnose cardiac cells injury and damage. Objective: This study aimed to detect the effect of troponin level assessed on admission on the angiographic and clinical outcome post primary PCI. Patients and Methods: We conducted a cohort study to assess the prognostic relation between rise of first troponin on presentation and primary PCI success and post-primary PCI clinical outcome either during the hospital stay or during the follow up period after discharge. This study was conducted on forty-four patients presented to the Emergency Department with STEMI and underwent primary PCI. Results: The TIMI flow grade post PCI was (I) in 5 patients (11.4%), (II) in 7 patients (15.9%) and (III) in 32 patients (72.7%). For the 32 patients who had TIMI III flow, we went for further analysis of reperfusion by assessing the myocardial blush by evaluating the TMPG. It was found that 3 patients (9.4%) had TMPG (I), 4 patients (12.5%) had TMPG (II) and 25 patients (78.1%) had TMPG (III). No patients were recorded to have major flow limiting dissection that ended with complications or coronary perforation. The in-hospital outcome was assessed and the total number of patients who had complications during hospitalization was 12 patients (27.3%). Conclusions: This study findings support that a single measurement of hs-cTnT provides significant incremental information to risk stratification after STEMI.
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