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Article
Depression as an outcome of the myocardial infarction
الكآبة بوصفها ناتج للاصابه باحتشاء عضلة القلب

Author: Hakeema Shaker Hasian د. حكيمة شاكر
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2008 Volume: 21 Issue: 3 Pages: 220-227
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Objective of the study: The study aims at (1) assessing the level of depression in the first 48 hours after acute myocardial infarction (2) determining the relationship between depression and the outcome of myocardial infarction Method: The sample included 60 patients (34) females and (26) males with acute myocardial infarction consecutively admitted to the coronary care unit at Al-Yarmook hospital in Baghdad.The patients were examined clinically to assess the complications that may occur in the first 48 hours and assessing the level of depression expressed by those patients Results: The results of the study showed that in the first 48 hours of acute myocardial infarction as many as 42 out of 60 patients have been found to be clinically complicated . The results also showed that there was highly significant difference between complicated and non complicated MI regarding the level of depressionConclusion: It is clear that depression of inpatients in the first 48 hours after myocardial infarction represents a considerably increased risk of early complication, and therefore these patients should be closely monitored for longer than it is at present routineKey words: myocardial infarction; depression; complication of myocardial infarction

الهدف : تهدف الدراسة إلى ما يلي ( 1)تقييم مستوى الاكتئاب في الثماني و الأربعين ساعة الأولى بعد الإصابة باحتشاء عضلة القلب الحاد (2) كشف العلاقة بين حالة الاكتئاب وحاصل احتشاء العضلة القلبية الحاد ألطريقه:اختيرت العينة من 60مريضا (34)أنثى و(26) ذكر مشخصين باحتشاء عضلة القلب الحاد و الذين ادخلوا بالتتابع إلى وحدة العناية بالشرايين ا لاكليليلة في مستشفى اليرموك في بغداد وتم فحص المرضى سريرا لتقييم المضاعفات التي من الممكن حدوثها خلال 48 ساعة الأولى بعد الإصابة باحتشاء عضلة القلب الحاد.وتقييم مستوى الكآبة التي يعبر عنها هولاء المرضىالنتائج: :أظهرت نتائج الدراسة في الثماني وأربعين ساعة الأولى بان هناك 42 من 60مريض يعانون من مضاعفات وكذلك أشارت نتائج الدراسة بان هناك دلالة إحصائية بين المرضى ذوي المضاعفات وبين المرضى الذين لايعانون من مضاعفات فيما يخص مستوى الاكتئاب نستخلص من الدراسة ان حالة الكابة التي يعاني منها المرضى في داخل المستشفى خلال 48 ساعة بعد احتشاء عضلة القلب الحادة يمكن ان نعتبرها تزيد من مخاطر المضاعفات وهولاء المرضى يحتاجون الىمراقبة لمدة زمنية طويلة اطول من الاعتيادية


Article
Predictors of In-Hospital Mortality After Acute Myocardial Infarction

Authors: Zaid Mohammed Ali Hamandi --- Khalid Abdulla Al-Khazraji
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2011 Volume: 10 Issue: 1 Pages: 46-53
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT: BACKGROUND: Acute myocardial infarction remains a major cause of adult mortality. A steady decline in the mortality rate appears to be due to a fall in the incidence of acute myocardial infarction, a fall in the case fatality rate, identifying those patients who are at increased risk, and more aggressive prophylactic cardiovascular treatments to prevent it from occurring.OBJECTIVE:To identify, patients who have higher risk of in-hospital mortality after the first acute myocardial infarction. PATIENTS AND METHODS: The hospital mortality for the first acute myocardial infarction (AMI) was evaluated for 112 patients who were admitted to the coronary care unit in Baghdad Teaching Hospital during a total period of six months duration, between March and Sept. 2001. For each patient, history, clinical examination, electrocardiograms, fasting venous plasma glucose were done. RESULTS: Total mortality was 16.1%. The following factors were associated with higher in-hospital mortality: advanced age (more than 65 years), females, diabetic, and clinically evident heart failure. Other variables were not associated with increase or decrease in mortality: hypertension, smoking, admission heart rate, bundle branch block, previous angina pectoris, and the site of the infarction. CONCLUSION: Certain groups of patients tend to have higher mortality; patients older than 60 years, females, diabetic and patients with clinical heart failure. Other factors didn’t affect survival; location of the AMI, the presence of bundle branch block, hypertension, angina pectoris, smoking and the high heart rate on admission.


Article
Prognostic Significance Of Left Ventricular Diastolic Dysfunction With Preserved Systolic Function Following Acute Myocardial Infarction

Author: Mutaz F. Hussain, * CABM, FICMS معتز فوزي حسين
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2006 Volume: 48 Issue: 3 Pages: 246-250
Publisher: Baghdad University جامعة بغداد

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Abstract

Background : The contribution of diastolic dysfunction in patients with preserved left ventricular (LV) systolic function to impaired functional status and cardiac mortality in myocardial infarction (MI) is unknown. Materials and Methods : Assessment of LV diastolic function was performed by Doppler analysis of the mitral and pulmonary venous flow and the propagation velocity of early mitral flow by color M-mode Doppler echocardiography in 150 consecutive patients at day 5-7 following their first acute MI.Results : Patients were classified into four groups: group A: preserved LV systolic and diastolic function (n=59); group B: LV systolic dysfunction with preserved diastolic function (n=8); group C: LV diastolic dysfunction with preserved systolic function (n=49); group D: combined LV systolic and diastolic dysfunction (n=33). The cardiac mortality rate at 6 months was significantly higher in groups C (12%) and D (36%) compared to A (2.5%) (p<0.01). Multivariate regression analysis identified LV diastolic dysfunction (p=0.001), killip class ≥II (p=0.005), and age (0.007) as predictors of cardiac death or readmission due to heart failure. Conclusion : The presence of LV diastolic dysfunction is associated with increased morbidity and mortality following acute MI. Key Words: Prognosis. Diastolic. Myocardial infarction__________________________________________________________________________________________


Article
Apelin Levels and its Relationship with a Number of Electrolytes in Patients with Myocardial Infarction
دراسة مستويات الابلين وعلاقته مع عدد من الكهارل لدى المرضى المصابين باحتشاء العضلة القلبية

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AbstractThe study aimed to determine the effect of the lack of Apelin peptide and its relation to the development and severity of coronary atherosclerosis and to prove its association with acute myocardial infarction and the positive effect when increasing its concentration in the body and protect it from various diseases. The study included 70 patients of different ages infected with myocardial infarction, both high blood pressure and diabetes, were significantly presented in the group of patients in this study and were compared with control group, which included 35 samples of healthy people. The study showed that there was a significant decrease (P≤0.05) in Apelin concentration in people who suffered from myocardial infarction compared with the control group, which was their Apelin concentrations within the normal rates, there was a significant decrease (P≤ 0.05) in the concentration of Apelin with males and females who suffered from myocardial infarction compared with males and females in control group, which was within normal concentrations that existed in the blood, parameters were measured the concentrations of Apelin and the results of study as follows: There was a significant decrease (P≤0.05) in the concentration of sodium, potassium, chloride and magnesium ions in patients with myocardial infarction compared with the control group. The concentrations of electrolytes in the sera of males and females were significantly decreases (P≤0.05) in regard to sodium, potassium and chloride ions in males and females patients compared to control group, while there were no significant differences (P≤0.05) in the concentration of magnesium between males and females of patients and control group. The correlation of sodium, potassium, magnesium and chloride ions with the concentration of the Apelin was positive. It rises continuously with elevation in the concentration of the Apelin and decrease in the concentration of Apelin. This has a positive effect on myocardial function and improve its function.

تضمنت الدراسة التي اجريت في جامعة سامراء/ كلية العلوم التطبيقية وكلية التربية 70 مريضا مختلفي الاعمار مصابين باحتشاء العضلة القلبية والذين تم تشخيصهم من قبل المختصين في مستشفى سامراء العام، وتم مقارنتها مع مجموعة السيطرة التي تضمنت 35 عينة من الاشخاص الاصحاء وعند تحديد تركيز الابلين تبين ان هناك انخفاض معنوي (P≤0.05) في تركيز الابلين لدى الاشخاص الذين يعانون من احتشاء العضلة القلبية مقارنة مع مجموعة السيطرة التي كان تركيز الابلين فيها ضمن المعدلات الطبيعية وكذلك وجد انخفاض معنوي (P≤0.05)في تركيز الابلين عند الذكور والاناث لمجموعة المرضى مقارنة مع ذكور واناث مجموعة السيطرة التي كانت ضمن التركيز الطبيعي التي تتواجد بها في الدم ، وتم قياس مجموعة من المتغيرات الكيموحيوية وايجاد العلاقة الارتباطية احصائيا بين تراكيزها وتركيز الابلين وكانت نتائج الدراسة كالاتي: تراكيز الإلكترونيات وعلاقتها بمستويات الابلين : وجد انخفاض معنوي (P≤0.05) في تركيز ايونات كل من الصوديوم والبوتاسيوم والكلوريد والمغنسيوم في مصل دم الاشخاص الذين يعانون من احتشاء العضلة القلبية مقارنة مع مجموعة السيطرة التي كانت ضمن التراكيز الطبيعية للمتغيرات الكيموحيوية. اما تركيز الإلكترونيات في مصل الدم للذكور والاناث وعلاقتها بتراكيز الابلين: وجد انخفاض معنوي (P≤0.05) في تركيز ايونات كل من الصوديوم والبوتاسيوم والكلوريد عند الذكور والاناث لمجموعة المرضى مقارنة مع ذكور واناث مجموعة السيطرة التي كانت ضمن التركيز الطبيعية التي تتواجد بها الايونات في الدم، في حين لم نجد فروقات معنوية(P≤0.05) في تركيز ايونات المغنسيوم بين ذكور واناث كلا المجموعتين. وكانت علاقة ارتباط تركيز ايونات الصوديوم والبوتاسيوم والمغنسيوم والكلوريد مع تركيز الابلين علاقة طردية حيث ترتفع باستمرار مع الارتفاع بتركيز الابلين وتنخفض بانخفاض تركيز الابلين وبالتالي فإن ذلك له تأثير ايجابي على عمل العضلة القلبية ويحسن عملها.


Article
ACUTE MYOCARDIAL INFARCTION AND DEPRESSION
احتشاء عضلة القلب الحاد والكأبة النفسية

Authors: ALIAS A. HUSSIN الياس حسين --- SABRI K. SHAIKHOW صبري شيخو
Journal: Duhok Medical Journal مجلة دهوك الطبية ISSN: ISSN: 20717334 (online)/ ISSN: 20717326 (Print) Year: 2008 Volume: 2 Issue: 1 Pages: 5-16
Publisher: University of Dohuk جامعة دهوك

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Background Depression found to be common after acute myocardial infarction AMI, its recognition and treatment may be important to reduce its consequences. Objectives To clarify the effect of depression following AMI. Patients and Methods Prospective study was conducted at the coronary care unit (CCU) at Ibn-Sena ,Mosul teaching hospital . Two hundred cases with AMI ages 25 years up to 75 years were included. Results Depression was prevalent after AMI, with a higher incidence in females, 57% vs 43% for males. P value < 0.05 and odds ratio: 2.85, this study found that higher percentage of depression was among those with low educational and socioeconomic state and discovered that patients with depression following AMI developed more cardiac complications such as recurrent angina, recurrent AMI, arrhythmia, congestive cardiac failure (CCF) and death more than non depressed patients, 38% of the depressed group needed coronary angiogram vs 23% of non depressed. Conclusion Patients who developed depression following (AMI) are more prone to complications.

خلفية البحث: تحدث الكآبة النفسية بشكل واسع بعد أحتشاء عضلة القلب الحاد. تشخيص الحالة و معالجتها ضروري جداً لأن الكآبة النفسية تؤدي الى اختلاطات قلبية كبيرة.الهدف: بيان تأثير الكآبة النفسية بعد احتشاء عضلة القلب الحاد. المرضى و طرق البحث: اجرت دراسة مستقبلية فى المستشفى العام شعبة العناية القلبية فى الموصل لمئتان مريض مصابون باحتشاء عضلة القلب الحاد رجالا ونسساء تتراوح اعمارهم بين 25-75 سنة.النتائج: بيينت الدراسة حدوث حالات كأبة حادة بين هؤلاء المرضى وبنسبة اكثر بين النساء عن الرجال 57 % الى 43% (P value 0.05 O.R 2.85). وثبتت الدراسة ان الكأبة النفسية بعد احتشاء عضلة القلب الحاد اكثر بين بين اللذين لديهم مشاكل عائلية وزوجية والطبقات الاقل ثقافة. نتائج الدراسة بيينت ان ان المرضى الذين يعانون من الكأبة النفسية بعد احتشاء عضلة القلب تحدث لديهم مخالطات قلبية مثل تكرار ذبحة صدرية واحتشاء عضلة القلب واضطرابات لضربات القلب والوفيات بنسبة اكثر من الذين لايعانون من الكأبة النفسية. الاستنتاج: التشخيص المبكر للكأبة النفسية بعد احتشاء عضلة القلب الحاد ومعالجتها ضرورى لمنع حدوث المخالطتات المذكورة .


Article
Association between activity at onset of symptoms and complications of St-segment elevation myocardial infarction in Erbil teaching hospital
العلاقة بين النشاط عند ظهور الأعراض ومضاعفات ارتفاع St-segment احتشاء عضلة القلب منفي احتشاء مستشفى أربيل التعليمي

Authors: Baha’ddin Abdulkareem --- Abdulkareem Othman
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2012 Volume: 16 Issue: 1 Pages: 16-22
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Background and objectives: It is controversial whether the onset of myocardial infarction occurs randomly or is precipitated by identifiable stimuli. The aim of this study is to emphasise the relationship of exercise, rest and bed related onset ST-segment elevation myocardial infarction with subsequent in-hospital complications.Methods: The study has been done perspectively having collecting data from those patients whom had been admitted from 1st of November 2008 till 1st of June 2009 to the Coronary Care Unit (CCU) in Hawler Teaching Hospital in Erbil city. The study had included one hundred twenty one patients (84 men, 37 women) whom they exhibited a newly developed ST-segment elevation myocardial infarction (STEMI) over the chronological age ranged from (35-86), mean age (56.76±11.12). Transthoracic echocardiography had been employed over 88 recently admitted patients whose in-hospital complications were precisely being clarified and recorded. The onset of pain of acute myocardial infarction whether during exercise, rest or during sleep (bed) has been verified and studied.Results: Patients whose symptoms of STEMI began at rest, or bed had higher incidence of early acute mitral regurgitation (26, 59.1%), (13,65%) respectively versus exercise related STEMI onset(8,33.3%)p value=0.04.Conclusion: Early echocardiographic examination is recommended especially to patients having had physical body rest in order to detect early bed-related onset STEMI and to diagnose complications like acute mitral regurgitation.


Article
Evidence of Infection with Helicobacter Pylori in Patients With Acute Myocardial Infarction
الدليل على الإصابة بالهليكوباكتر بايلوري عند مرضى إحتشاء العضلة القلبية الحاد

Author: Dr. Ala Hussain Abbase Haider د علاء حسين عباس حيدر
Journal: KUFA MEDICAL JOURNAL مجلة الكوفة الطبية ISSN: 1993517X Year: 2009 Volume: 12 Issue: 1 Pages: 9-17
Publisher: University of Kufa جامعة الكوفة

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Background: the role of infection with Helicobacter pylori (H. pylori) as a risk factor for acute myocardial infarction is controversial.Aim of the study: to assess the association between H. pylori infection and acute myocardial infarction. Patients and Methods: the IgG seropositivity to H. pylori was assessed in 40 patients with acute myocardial infarction and 39 controls. Results: in the total study the association was statistically insignificant (80% vs 69.2%, p value:0.2, OR 0.56, 95%CI(0.2-1.5)), but in those below the age of 50 years was significant (100% vs 66.7%, p value: 0.04, OR 2.3, 95%CI(1.4-4.02)). No association was found between H. pylori seropositivity and worsening of the classic coronary risk factors. Conclusion: this study suggests that H. pylori infection is a risk factor for coronary artery disease in patients below 50 years.

تمهيد: إن دور الإصابة بالهليكوباكتر بايلوري كعامل خطورة للإصابة بإحتشاء العضلة القلبية الحاد هو محل خلاف0 الأهـداف: تقييم العلاقة بين الإصابة بالهليكوباكتر بايلوري وبين احتشاء العضلة القلبية الحاد0 الطرق: في هذه الدراسة ذات مجموعة الضبط حُددت الموجبية المصلية للغلوبيولين المناعي جي المضاد للهليكوباكتر بايلوري عند 40 مريضاً مصاباً باحتشاء العضلة القلبية الحاد وعند 39 شخصاً من مجموعة الضبط0 النتائج: لم تكن النتائج معتبرة إحصائياً في عموم الدراسة (80% مقابل 69٫2% وكانت قيمة p 0٫2 وOR 0٫56 و95% CI (0٫2-1٫5))، ولكنها كانت معتبرة عند الأشخاص دون سن الـ 50 سنة (100% مقابل 66٫7% وقيمة p :0٫04 وOR 2٫3 و95% CI (1٫4-4٫02)). ولم تظهر هناك علاقة بين الموجبية المصلية للهليكوباكتر بايلوري وبين احتداد عوامل الخطورة الكلاسيكية لأمراض الشرايين التاجية0الإستنتاجات: إنّ هذه الدراسة تبيّن أنّ الإصابة بالهليكوباكتر بايلوري هو عامل خطورة لأمراض الشرايين التاجية في المجموعة العمرية التي هي دون الـ 50 سنة.


Article
Detection of major risk factors in patients with acute myocardial infarction in Al-Ramadi city
التعرف على عوامل الاختطار الكبرى في مرضى احتشاء العضلة القلبية الحاد في مدينة الرمادي

Authors: Khalid Al-Rawi --- Hameed A. Al-Zagroot --- Abdulla L. Jassim --- Amar Y. Abdullan
Journal: Al- Anbar Medical Journal مجلة الأنبار الطبية ISSN: PISSN: 27066207 / EISSN: 26643154 Year: 2005 Volume: Vol.5 Issue: 1 Pages: 75-77
Publisher: University of Anbar جامعة الانبار

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Objective : To study the prevalence of major risk factors like age , hypertension , and diabetes mellitus and smoking in acute myocardial infarction and their effect on the development of complication. Methods : A 207 patients with acute myocardial infarction admitted to the cardiac care unit in Al-Ramadi general hospital were included in the study from May 2001 to May 2002. A questionnaire form including : age, sex, presence of hypertension , diabetes mellitus, smoking , and presence of any complication like arrhythmia, heart failure….etc. Results : There was an increase in the prevalence of myocardial infarction with increasing age . The mean percentage of hypertensive patients was 44% while for diabetes mellitus and smoking were 27% and 40% , respectively . About 53% of hypertensive patients and smokers developed complications of MI, while 35% of diabetes had complications . Conclusion: There are an increase in the incidence of myocardial infarction and its complications in the presence of one or more major risk factors. Key words : Myocardial infarction, complications, risk factors

الهدف: دراسة نسبة تأثير عوامل الاختطار الكبرى كالعمر وفرط ضغط الدم وداء السكري والتدخين في مرضى احتشاء العضلة القلبية الحاد مع بيان تأثيره في حدوث مضاعفات .الطرق : تضمنت الدراسة 207 من الراقدين في شعبة انعاش القلب في مستشفى الرمادي العام والمصابين باحتشاء العضلة القلبية الحاد للفترة من مايس 2001 الى مايس 2002 وتتراوح اعماره مبين 30-70 سنة بواسطة ملئ ورقة استبيان تحتوي على العمر والجنس وعوامل الاختطار الكبرى كفرط ضغط الدم وداء السكري والتدخين وكذلك المضاعفات التي حصلت للمرضى . النتائج : وجد ان هناك زيادة في نسبة المرضى مع ازدياد العمر وان 44% من المرضى كانوا مصابين بفرط ضغط الدم والمدخنين وان 27% منهم كانوا مصابين بداء السكري و49% كانوا مدخنين اما المضاعفات فكانت كالاتي 53% تقريباً في المرضى المصابين بفرط ضغط الدم والمدخنين بينما كانت 35% في المرضى الذين لديهم داء السكري . الاستنتاج : يتبين من الدراسة ان هناك زيادة في انتشار المرض بوجود عوامل الاختطار الكبرى وان نسبة حصول المضاعفات تزداد بوجود هذه العوامل بفائدة معينة


Article
The Impact of Inflammation on Adiponectin, IL-6 and CRP in Acute Myocardial Infarction Patients

Authors: lmmmA Esmaeel Ibrahim --- Hadef Dhafer EL-Yassin --- Hamid Kareem Sachit AL-Janabi.
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: supplement Pages: 616-622
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT:BACKGROUND:Adipose tissue is increasingly recognized as a key regulator of energy balance, playing an active role in lipid storage and buffering, and synthesizing and secreting a wide range of endocrine products that may be directly involved in the pathogenesis of the complications associated with obesity. Adiponectin is adipocyte derivate hormone that has important effect as anti-inflammatory factor. Inflammation contributes across the spectrum of cardiovascular disease, including the earliest steps in atherogenesis. IL-6 is one of the most important mediators of fever and of the acute phase response. C-reactive protein (CRP) is a protein found in the blood, the levels of which rise in response to inflammation (an acute-phase protein). Myocardial Infarction (MI) or Acute Myocardial Infarction (AMI), is the interruption of blood supply to part of the heart, causing some heart cells to die.OBJECTIVE:To investigate the level of adiponectin and its effect on IL-6 and CRP in patients with Acute Myocardial infarction.SUBJECTS AND METHODS:The study included 50 patients with Acute Myocardial infarction and forty healthy subjects as control group. Levels of adiponectin , CRP and IL-6 were measured.RESULTS:The levels of adiponectin, IL-6 and CRP were significantly elevated with (p<0.001), there was negative correlation between adiponectin with CRP and IL-6 in acute myocardial infarction patients.CONCLUSION:The significant increase in adiponectin in AMI may be related to inflammation. Adiponectin inversely correlated with inflammatory marker (CRP and IL-6) so it has anti-inflammatory properties and that make us consider it as cardiovascular protective factor


Article
Cardiogenic Shock Complicating Acute Myocardial Infarction; Aetiology, Treatment and Prognosis

Author: Shokry F. Nassir
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2017 Volume: 10 Issue: 2 Pages: 2771-2784
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: Cardiogenic shock is the leading cause of death in patients hospitalized for acute myocardial infarction. Treatment strategies using intra-aortic balloon counter pulsation and emergency revascularization by percutaneous coronary interventions or coronary bypass surgery have been shown to improve outcomes.Aim: to provide an overview of patients with cardiogenic shock complicating acute myocardial infarction admitted to Ibn Al-Bitar center for cardiac surgery in Baghdad. Methods: This is a prospective observational study conducted at Ibn Al-Bitar center for cardiac surgery in Baghdad. The criteria of the British cardiovascular intervention society were used to identify patients who were admitted to the hospital within one year period with the main focus of the study was on patients with cardiogenic shock complicating acute myocardial infarction. Full clinical assessment was done at bedside. Twelve leads electrocardiography and basic biochemical tests were obtained and echocardiography was done for every patient. Results: During a period of one year from March 2010 through March 2011 One hundred seventeen patients with cardiogenic shock were identified. Acute myocardial infarction accounted for shock in 78(66.7%). In this patients population there were good percentages of history of myocardial infarction, hypertension, diabetes and smoking. Anterior ST–elevation myocardial infarction was found in two-thirds of them. Predominant left ventricular failure caused cardiogenic shock in 54(69.2%), while ventricular septal rupture, acute mitral regurgitation and right ventricular failure accounted for the rest. The overall mortality rate of cardiogenic shock was 64 (82.1%). Intra-aortic balloon pumping (IABP) was placed in 28 (35.9%) and Thrombolytic therapy was used in 19 patients (24.4%), while Both IABP and thrombolytic therapy were used in 8 (10.3%). Coronary angiography was done in 18 (23.07%). Percutanous coronary intervention was used in 10 (12.8%), while coronary artery bypass grafting was done in 3(3.8%) of the patients. Conclusions: This study shows a high in-hospital mortality for patients with cardiogenic shock complicating acute myocardial infarction and despite the proven benefit of revascularization procedures there were only few patients had undergone these Procedures. The utilization rates of thrombolytic therapy and intra-aortic balloon pump were also low.

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