Year results of ejection fraction in patients with acute coronary syndrome after multivessel percutaneous transluminal angioplasty

Aim. The aim of this randomized clinic trial was to study 5-year follow up of morbidity and mortality in patients with acute coronary syndrome after conducted multivessel percutaneous transluminal coronary angioplasty (PTCA). Material and methods. The trial was carried out in two groups with EF 35% for assessment of acute coronary syndrome impact to myocardial revascularization. 742 patients were included to the trial. All patients were undergone coronary angiography admitted during 6 hours after MI and followed through PTCA. 5 year follow-up of morbidity was investigated on these patients considering an initial EF. Results. 129 patients had got EF indices lower than 35%. Only 122 patients (94%) among these ones completed the 5 year follow up. 613 patients had got EF with initial indices higher than 35%. Average age of patients with EF 35% - 55,8 year (SD 10-17). 110 patients (90,2%) with EF 35% were men. 12 (9,8%) women were in the group with EF35%. Only 577 (93,8%) of them completed the follow up. The estimation of morbidity and mortality were done in divided groups by EF for both sex. Also there were investigated and compared the causes of death in both groups. Conclusion. EF was determined as an important factor influenced morbidity and mortality in patients after PTCA.