Bangladesh Heart Journal最新文献

{"title":"Correlation of hs-CRP with in-hospital Outcome of Patients with Acute Coronary Syndrome (ACS)","authors":"M. K. Alam, A. Awal, Salmani Nahid, Sharif Mohammad Muizzul Akbar Chowdhury, Kazi Shamim Al Mamun, A. M. Morshed","doi":"10.3329/bhj.v37i1.60102","DOIUrl":"https://doi.org/10.3329/bhj.v37i1.60102","url":null,"abstract":"Background and Objectives: Coronary artery disease (CAD) is a worldwide health epidemic. Acute coronary syndrome (ACS) is a potentially life-threatening condition of CAD. Serum high-sensitivity C Reactive Protein (hs- CRP) is being increasingly used as a marker for cardiac risk assessment and as a prognostic tool in acute coronary syndrome. The objective of this study was to evaluate the prognostic value of hs-CRP in predicting cardiovascular outcome in patients presenting with acute coronary syndromes. Methods: This prospective observational study was carried out in the department of cardiology of Chittagong Medical College Hospital (CMCH), Chittagong, from April 2013 to March 2014. Total 100 patients presenting with acute coronary syndromes who fulfilled the selection criteria were included in the study. Serum hs-CRP of all patients was assayed on admission and study population divided into 4 groups according to hs-CRP quartiles. All four groups were followed-up till discharge and occurrence of any cardiovascular events were sought. Results: Mean hs-CRP was 18±2.9mg/L (mean±SD), ranged from 1.6 mg/L to 71.2 mg/L /L. The mortality was significantly higher in quartile-4 (7%, p-0.001) and quartile- 3 (4%, 0.005) as compared to quartile-1 and 2 (0% and 2% respectively). 12% patients developed heart failure in quartile-4 vs 2% in quartile-1 (p-0.045). Similarly other cardiac complications like cardiogenic shock, arrhythmias and heart blocks occurred in increasing frequency among patients of higher quartiles. Conclusions: Elevated hs-CRP is a predictor of adverse outcome in patients with acute coronary syndromes and helps in identifying patients who may be at risk of cardiovascular complications.\u0000Bangladesh Heart Journal 2022; 37(1): 34-39","PeriodicalId":247590,"journal":{"name":"Bangladesh Heart Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129224837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Study of Disease Profile of Patients Admitted in Cardiac Unit in a District Hospital of Bangladesh","authors":"Md Abdul Mannan, Solaiman Hossain, Md. Zahidul Islam, Sahidul Islam Talukdar, Mohammadullah Feroz, A. Majumder","doi":"10.3329/bhj.v37i1.60099","DOIUrl":"https://doi.org/10.3329/bhj.v37i1.60099","url":null,"abstract":"Objectives: Aim of our study was to predict the pattern of disease of patients admitted in cardiac unit in a district hospital of Bangladesh. Material and Methods: This observational study was conducted in the department of cardiology, General hospital, Sirajgonj, Bangladesh during the period of 02 months from June to July, 2019. Total of 504 patients were enrolled who were admitted in cardiac unit in Sirajgonj 250 bed General Hospital during two months’ period from 1st June to 31st July, 2019. Every admitted patient was included in the study and history, clinical examination and investigation was done. Risk factors and complications ware noted. After diagnosis, treatment was given and outcome was recorded. Result: Age ranges was 23 to 74 year mean age was 55.9±13.6, 322 were male and 182 were female. According to risk factors, 211 were smoker, 206 were hypertensive, 166 have dyslipidemia, 110 have diabetes mellitus, 146 were prediabetic, 70 have family history of IHD and 20 were obese. The patients were diagnosed as AMI (ST elevation)-115, NSTEMI-45, UA-40, CSA-100, CCF-20, HTN- 50, MS-7, MR-5, AS-5, RMI-15, OMI-20, ICM-13, ASD-3, VSD- 5, TOF-2, PPCI-2. Admitted patients have following complications- LVF-50, PE-2, PVC-55, AF-30, Cardiogenic shock-20, SVT-15, VT-10, CHB-10, VF-5 and atrial flutter-5. Comorbidity profile were COPD-36, Bronchial Asthma- 40, CKD-30, Musculoskeletal pain-20, AN-15, PUD-10, RTI- 10, CVD-76, Tubercular pleural effusion-10, Anaemia-15, Cervical spndylosis-5, UTI-5, RA-5, Sacroilitis-5. Following were the treatment outcome cured-40, improved-414, referred-35 and death-15. Conclusion: Most of the patients were male and smoking was the predominant risk factor. Acute STelevation MI was the predominant primary disease. PVC was the most common complication and CVD was the highest comorbidity. Death was 2.9% and it was most commonly due to Acute ST elevation MI with development of LVF with cardiogenic shock.\u0000Bangladesh Heart Journal 2022; 37(1): 10-15","PeriodicalId":247590,"journal":{"name":"Bangladesh Heart Journal","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122194791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Left Atrial Appendage Giant Aneurysm- A Case Report","authors":"Md. Akhter Hossain, M. Badruzzaman, M. Kabir, Md Jahirul Islam, Md Rowshon Masud","doi":"10.3329/bhj.v37i1.60109","DOIUrl":"https://doi.org/10.3329/bhj.v37i1.60109","url":null,"abstract":"Abstract not available\u0000Bangladesh Heart Journal 2022; 37(1): 81-83","PeriodicalId":247590,"journal":{"name":"Bangladesh Heart Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122909665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pattern of Admission, Management and In hospital Outcome of ACS Patients during COVID-19 pandemic - A study in Tertiary Care hospital","authors":"M. A. Razzaque, Mohsin Ahmed, Md Shaheen Kobir, CM Kudrat E Khuda, H. Mahmoud, Md Shariful Islam, Sayeedur Rahman Khan, Mainul Islam, A. Ghosh, M. Hasan","doi":"10.3329/bhj.v37i1.60106","DOIUrl":"https://doi.org/10.3329/bhj.v37i1.60106","url":null,"abstract":"Aim: This study aimed to evaluate the impact of coronavirus disease2019(Covid-19) outbreak on admissions for acute coronary syndrome (ACS) and related mortality, severity of presentation, major cardiac complications, and outcome in tertiary care hospital (NICVD). Method: This is a cross sectional observational study on ACS admitted patients during the 1st and 2nd phase of COVID-19 from 1st June to 31st August in the year 2020 and 2021 who were COVID negative (RT PCR). Using a control of ACS admitted patients during corresponding period of year 2019 from registry. Results: During the 1st phase of COVID (July to August 2020) 736 ACS patients were enrolled where as during 2nd phase (July to August 2021) 722 ACS patients were enrolled. Mean age were 52±8 vs 53±11 years. Demographic variables such as age, sex and risk factors are almost identical in all groups. Our study showed 46% decline in admission in ACS patients comparing same period of 2019. Though some inclination in 2021 still it showed 13% decline in ACS patient admission in comparison to 2019. There was substantial increase in percentage of patient suffering from STEMI in 2020(42% vs66% vs46%). Short time in hospital complications were more pronounced in 2020. During the study period average death rate was higher than the year 2019 (8.6% vs 5.8%). There was significant decline in numbers of interventions(CAG and PCI) for CAD during first phase of Covid which raised during second phase(429 vs 2151). Total number of interventions done of 1884 patients in 2019 whereas 2151 patients were undergone in the year 2021. Conclusion: The Covid-19 outbreak affects hospital admission for acute coronary syndrome. During the first phase of the pandemic, significantly less patients with ACS admitted, but those admitted presented with a higher mortality, more complications and a worse short time outcome. Therefore ,our data indicate that Covid- 19 had relevant impact on non-infectious disease status, such as acute coronary syndrome.\u0000Bangladesh Heart Journal 2022; 37(1): 65-71","PeriodicalId":247590,"journal":{"name":"Bangladesh Heart Journal","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128162368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender Influence on In-hospital Outcomes of Primary Percutaneous Coronary Intervention","authors":"Subas Caandro Datta, M. Azam, J. Jahan, T. Chowdhury, M. Mamunuzzaman, Md Sazzad Masum, SM Nazmul Huda, Md. Shamim Aktar","doi":"10.3329/bhj.v37i1.60103","DOIUrl":"https://doi.org/10.3329/bhj.v37i1.60103","url":null,"abstract":"Background: Acute myocardial infarction (AMI) is one of the leading cause death and disability all over the world. But, there is a lack of data about the gender influence on in-hospital outcomes of primary percutaneous coronary intervention (pPCI) among Bangladeshi patients. This study was aimed to evaluate the clinical and angiographic differences and to compare their in hospital outcomes of pPCI between male and female patients. Objective: To evaluate the gender influence on in-hospital outcome of primary PCI. Methods: This was a prospective observational study of 90 patients with ST elevation myocardial infarction ( STEMI ) treated with pPCI in the Department of Cardiology, NICVD, Dhaka, Bangladesh from April 2019 to March 2020, followed from admission until hospital discharge or death. The patients were divided equally into two groups, group ‘! (female) and group a! (male). Result : A significant difference was observed for age (61.8±10.9vs.56.5±10.7 years; p=0.02), hypertension (66.7% vs. 42.2%; p=0.02), diabetes (68.9% vs. 44.4%; p=0.01), smoking (0.0% vs. 68.9%; p<0.001), obesity (BMI- 28.3±3.8 vs. 26.5±3.9; p=0.02), troponin I (14.89±20.48 vs. 8.25±7.92; p=0.04) and pain-to-door time (281.90±88.70 vs. 240.33±80.81 minutes; p=0.04). Female had angiographically greater frequency of multivessel disease and similar distribution of infarct related artery in relation to male. The success of the procedure was similar (91.1% vs. 97.8%; p=0.18). Overall, female experienced greater incidence of in-hospital adverse events in comparison to male (28.8% vs. 13.3%; p=0.03) and significantly higher rates of severe bleeding (11.1% vs.2.2%; p=0.03) and vascular access site complications (15.6% vs. 4.4%; p=0.04). Major adverse cardiac events (MACE) were higher among females in comparison to males (11.1% vs. 6.7%; p=0.45). Females experienced significantly higher rates of short-term net adverse clinical events (NACE) than males (20.0% vs. 8.8%; p=0.04). Female sex [odds ratio (OR) 1.94], age e”60 years (OR 1.59) and diabetes (OR 2.75) were identified as independent predictors of adverse in-hospital outcomes among STEMI patients undergoing pPCI. Conclusion: Female sex presented with significantly more risk factors and experienced more in-hospital adverse outcomes than male in STEMI patients undergoing pPCI. They had significantly higher rates of NACE, largely driven by increased rate of major bleeding. Female sex was an independent predictor for the development of in-hospital adverse outcomes in STEMI patients undergoing pPCI.\u0000Bangladesh Heart Journal 2022; 37(1): 40-51","PeriodicalId":247590,"journal":{"name":"Bangladesh Heart Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130725737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Congenitally Corrected Transposition of Great arteries with AV block -cohabitation of structural and electrical cardiac abnormality: a case report","authors":"A. Chowdhury, Azizul Haque, Kazi N. Islam, M. G. Amin, Abu Taher Md Mahfuzul Hoque, Sudhakor Sarker, Mohammod Ali, Pratyay Hasan","doi":"10.3329/bhj.v37i1.60108","DOIUrl":"https://doi.org/10.3329/bhj.v37i1.60108","url":null,"abstract":"Congenitally Corrected Transposition of Great Arteries (c-TGA) is an anomaly with atrioventricular and ventriculoarterial discordance where left atrium connects to right ventricle and right atrium to left ventricle. However in this case of double inversion, aorta carries saturated blood and pulmonary artery carries venous blood. So, normal physiological circulation is maintained. Our patient, a 38-years-old Bangladeshi male presented with palpitation, dizziness and effort intolerance (NYHAII) during exertion since childhood, which has recently become much worse. However, he had no history of central cyanosis, chest pain or syncope. We diagnosed him as a case of Corrected TGA and second-degree AV block with intermittent complete heart block. A Dual chamber permanent Pacemaker was inserted without any complications. No invasive treatment including corrective surgery was performed because patient’s cardiac function was almost normal. Patient became totally asymptomatic after pacemaker implantation\u0000Bangladesh Heart Journal 2022; 37(1): 77-80","PeriodicalId":247590,"journal":{"name":"Bangladesh Heart Journal","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124785615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anaortic off-pump Complete Arterial Revascularization Using Composite LIMA RIMA Y grafts: 1 Year Outcome","authors":"A. Hoque, Abu Shadat Mohammad Saem Khan, R. Rahman, Muhammad Asif Ahsan Chowdhury, Imran Ahmed, W. Salam, M. Hossain, Tanvir Hossain, Md. Amirul Islam","doi":"10.3329/bhj.v37i1.60101","DOIUrl":"https://doi.org/10.3329/bhj.v37i1.60101","url":null,"abstract":"Objective: The aim was to evaluate the early outcome of off-pump coronary artery bypass grafting (OPCABG) with a bilateral internal mammary artery (BIMA) Y configuration graft to achieve total arterial myocardial revascularization. Materials and Methods: From March 2018 to March 2020 total 30 cases of off pump CABG surgery using LIMA RIMA Y sequential grafts to achieve total arterial myocardial revascularization. Comparisons between LIMA + SVG and BIMA Y grafts were not made here. Result: The average age of the patients was 43.51±2.58 years. Most of them were male (93.34%). A total of 28 (93.34%) cases had triple-vessel disease. Double-vessel disease was found in 2 (6.66%) cases. The skeletonization skill was used to harvest the two IMAs and then the free right internal mammary artery was anastomosed end-to-side to the in situ left internal mammary artery to composite a Y configuration graft. Off-pump and sequential anastomosis methods were used to perform coronary artery bypass surgery for the patients. Graft patency was assessed by doing CT angiogram. All distal and proximal Y anastomoses were patent at 1 year follow up. There were no perioperative deaths. Conclusion: OPCABG by using LIMA RIMA Y graft is an effective option for total arterial revascularization and avoid surgical complications regarding the ascending aorta manupulation.\u0000Bangladesh Heart Journal 2022; 37(1): 27-33","PeriodicalId":247590,"journal":{"name":"Bangladesh Heart Journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121445780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implantation of Permanent Pacemaker and COVID-19 coinfection: Strategy for Management at a Dedicated Cardiac Hospital in Bangladesh","authors":"Iftekhar Alam, Khandaker Shaheed Hossain, M. Rashid, Newaz I. Ahmed, L. Debnath, Md Sadaqul Islam Sikder, M. S. Hossain Khan, M. Uddin","doi":"10.3329/bhj.v37i1.60105","DOIUrl":"https://doi.org/10.3329/bhj.v37i1.60105","url":null,"abstract":"Background: The pandemic existence of corona virus disease 2019 (COVID -19) in the year 2020 has initially limited the number of intervention in cardiac diseases in our country. The need for placement of permanent pacemaker is a medical emergency but in patients with concomitant COVID -19, it’s a double edged sword. The treatment strategy and planning for this group of patients with high degree atrioventricular block (AVB) or sinus node disease (SND), needing permanent pacemaker is the fundamental concern along with the safety of the attending cardiologists and other staff members. In this study we sought to comprehend the treatment strategies in patients requiring pacemaker with simultaneous COVID-19 co-infection. Methods: This study was done at the National institute of cardiovascular diseases (NICVD), Shere Bangla Nagar, Dhaka from 10th March 2020 to 9th September 2020. During these six months all patients waiting for permanent pacemaker implantation were screened for COVID-19 by real time polymerase chain reaction (RT PCR). The positive cases were included in the study and managed according to the in hospital protocol. Results: A total of 98 patients had permanent pacemaker implanted during this period, among them12 patients (12.24%) were tested positive for COVID-19. Average age of the patients was 68±7.6 years and 66.7% was male and 33.3% was female. The mean duration of RT PCR positive status was 20.6±6.4 days (range 14 to 29 days) and the mean duration of indwelling TPM was 21.25±7.05 days (range 17 to 30 days). There was no TPM related complication following PPM implantation. Conclusions: Conservative approach of medical management with TPM for stabilization of the patients with corona virus disease is a safe option for delayed PPM implantation after improvement of the patients. In hospital treatment protocol with facilities for isolation and treatment of COVID is the mainstay of the treatment strategy.\u0000Bangladesh Heart Journal 2022; 37(1): 59-64","PeriodicalId":247590,"journal":{"name":"Bangladesh Heart Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132412564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In-hospital Outcome and Angiographic Profile of Elderly Patients with Non ST-Segment Elevation Myocardial Infraction","authors":"Md Sazzad Masum, Fazila-Tun Nesa Malik, M. Mamunuzzaman, Subas Caandro Datta, M. A. Razzaque, M. B. Rashid, Pinaki Das, Mahbub Alam","doi":"10.3329/bhj.v37i1.60104","DOIUrl":"https://doi.org/10.3329/bhj.v37i1.60104","url":null,"abstract":"Background: Non ST - segment elevation myocardial infarction is heterogeneous in its presentation and is a major life-threatening cause of emergency medical care and hospitalization. Patients with non ST-segment elevation myocardial infarction are at risk for adverse cardiac events and if associated with increased age, it become a strong predictor of adverse cardiac events in patients with non ST-segment elevation myocardial infarction. Objective: To find out in - hospital outcome and severity of coronary artery disease of older patient with non - ST segment elevation myocardial infarction. Methods: This was a descriptive cross sectional study. The study was carried out in the department of cardiology, National Heart Foundation Hospital and Research Institute from June 2011 to May 2012. Patients of non ST - segment elevation myocardial infarction admitted at National Heart Foundation & Research Institute who fulfill the inclusion criteria were the study population. Patients were recruited by nonrandom sampling. One hundred and thirty four patients were recruited in this study. Data were prospectively collected in a pre - designed data collection form and analyzed by using SPSS - 16 software. Results: In this study patients had a greater prevalence of hypertension, diabetes mellitus. Chest pain and shortness of breath were common presentations observed in study patient during admission. They had a lower left ventricular ejection fraction than their younger counter parts. Older group was associated with an increased risk of triple vessel disease. In-hospital complications were significantly higher in older patients. Duration of hospital stay was longer in older patients. Conclusion: Older patients with non- ST segment myocardial infarction strongly predicts adverse inhospital outcome and severe coronary artery disease profile. Older patients should alert physicians to an increased risk of morbidity and mortality, which may in turn support more judicious treatment including appropriate utilization of cardiovascular diagnostic tests and therapeutics used in current cardiovascular care to optimize outcomes in these high-risk patients.\u0000Bangladesh Heart Journal 2022; 37(1): 52-58","PeriodicalId":247590,"journal":{"name":"Bangladesh Heart Journal","volume":"289 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127723415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between Myocardial Performance Index (Tei- Index) and Severity of Coronary Artery Disease in Patients with Non-ST Segment Elevation Acute Coronary Syndrome","authors":"Bivash Kumer Sheel, M. Badiuzzaman, T. Haque, Habibur Rahman, A. Biswas, Sayeedur Rahman Khan","doi":"10.3329/bhj.v37i1.60100","DOIUrl":"https://doi.org/10.3329/bhj.v37i1.60100","url":null,"abstract":"Background and objectives: Evaluation of ventricular systolic and diastolic functions is an essential part of echocardiographic evaluation in a patient of acute coronary syndrome (ACS). Myocardial Performance Index (MPI), also known as the Tei index, reflects both systolic and diastolic function of the left ventricle. The aim of this study was to see the association between myocardial performance index and severity of coronary artery diseases assessed by the gensini score (GS) in patients with non-ST segment elevation acute coronary syndrome. Methods: This cross-sectional study included a total 135 patients with NSTE ACS who underwent coronary angiography. MPI was measured using Pulse-Wave Doppler in all patients before coronary angiography. The patients were divided into three groups according to the Gensini score (GS); low GS < 19 (n=23); mid GS ³19 and £96 (n= 76); high GS > 96 (n=36) on CAG. Baseline characteristics, MPI parameters & GS were then compared between the three groups. Results: MPI was obtained successfully in 135 patients. MPI parameter was significantly increased with increased GS. MPI was positively correlated with the GS (r = 0.40, p < 0.001) Binary logistic regression analysis showed that MPI was strongly associated of severity of coronary artery disease assessed by GS (b = 3.766, p < 0.001). Conclusion: Patients with NSTE-ACS with severe coronary artery disease may be identified by means of MPI measurement. Key words: Tei Index, Gensini Score, Non-ST Segment Elevation Acute Coronary Syndrome, Coronary Angiogram.\u0000Bangladesh Heart Journal 2022; 37(1): 16-26","PeriodicalId":247590,"journal":{"name":"Bangladesh Heart Journal","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131961872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}