DOI: 10.36347/sjams.2021.v09i02.021

Pages: 283-290

Background: The importance of reciprocal ST segment depression throughout acute infarct has been a region of dialogue, whether or not it's a symptom of multivessel unwellness, ischemia at a distance or just a benign physical phenomenon. Objective: To find out the Clinical Profile and Outcomes of Angiographic Severity in Patients with ST Segment Elevation Myocardial Infarction with Reciprocal ST Segment Depression. Patients and Methods: The current study was conducted as a prospective, controlled single center study involving two hundred patients with ST elevation Myocardial infarction who were admitted to the Department of Cardiac Surgery, Bangabandu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh and had undergone coronary angiogram with PCI result in the Clinical Profile And Outcomes of angiographic severity in patients with ST segment elevation myocardial infarction association with reciprocal ST segment depression period between January 2018 and December 2018. Two hundred ST elevation infarction patients (100 inferior, one hundred anterior), every cluster was sub-grouped into a pair of subgroups consistent with the presence of reciprocal ST segment depression or absence: in anterior STEMI cluster we have a tendency to had subgroup A1 with RSTD (41 patients) and subgroup A2 while not RSTD (59 patients) whereas in inferior STEMI cluster every sub-group (B1 and B2) consisted of fifty patients. Coronary angiography was done in all patients within 15 days of acute ST segment elevation with RSTD or non-RSTD having including primary PCI, thrombolytic therapy and SC LMWH. Results: This study was Patients with reciprocal ST segment depression showed a significant lower mean Left ventricular ejection fraction compared to those without (37 + 3% vs 53 + 5% P < 0.001, anterior ST elevation myocardial infarction subgroups) & (47 + 4% vs 60 + 3% P < 0.001, inferior ST elevation myocardial infarction sub-groups). Multivessel disease was higher incidence of found.....