ABSTRACT
Objectives: To assess predictors of high thrombus burden in patients with acute myocardial infarction undergoing primary percutaneous coronary intervention,We sought to study simple clinical and laboratory values.
Methods: This cross-sectional study was conducted in cardiology department, Faculty of medicine, Zagazig university hospitals. We studied patients with acute myocardial infarction underwent primary percutaneous coronary intervention attending our coronary care unit in Zagazig university hospitals. We enrolled 180 patients for the study in the period between January 2019 and January 2020.
Results: Patients were classified into two groups: Group 1: Low thrombus burden of culprit vessel, this group included 74 consecutive participants who had thrombus grade less than 4, with age 56.53 ± 5.435 years and were 39 males and 35 females. Group 2: High thrombus burden culprit vessel, which included 106 cases. Patients who had thrombus grade more than or equal 4 with age 57.32 ± 6.6 years and were 57males patients and 49 females. All Patients had PPCI.
Conclusion: Initial troponin, pain to balloon time and RDW can be used as predictors of high thrombus burden in acute STEMI patients undergoing primary PCI