Mohamed Ibrahim Talha, Ekram Sadek Saied, Suzan Baiomy Al-Hefnawy and Ayman Ahmed Elsheikh
Background: NSTEMI is a primary reason for mortality and morbidity globally. This work was aimed at comparing LV systolic function utilizing 2D and speckle tracking echocardiography among diabetics and non-diabetics going through percutaneous intervention in NSTEMI.
Methods: Our prospective randomized clinical study involved 100 individuals with acute NSTEMI clinical criteria going through PCI. Participants went through a categorization into two equal groups: Group 1: Diabetic patients. Group 2: Non-diabetic patients. All patients were subjected to Electrocardiogram, Echocardiography and Primary PCI. Evaluating Left ventricular systolic function was done by 2D and speckle tracking Echocardiography.
Results: Ejection fraction (EF) was significantly improved after 3 months compared to EF on admission within all groups (p<0.001). LVESV after 3 months, LVidS on admission were significantly greater within group I as opposed to group II (p =0.013). LVESV, LVidS and GLS were significantly decreased after 3 months compared to on admission within all groups (p<0.001). FS was significantly increased after 3 months compared to FS on admission within all groups (p<0.001). GLS on admission was significantly less within group II as opposed4 to group I (p =0.037).
Conclusions: For diabetics having NSTEMI and going through PCI, EF by 2D echocardiography and GLS by Speckle tracking echocardiography were significantly decreased than non-diabetic patients. The policy makers must provide a sustainable solution to reduce the overexploitation of forest resources.
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