بررسی تأثیر استرپتوکیناز پس از انفارکتوس حادقلبی در کاهش مرگ و میر داخل بیمارستانی، پیامدهای بالینی و عملکرد بطن چپ

      For  determining   the  incidence  of  hospital  mortality and left ventricular    function in patients with acute myocardial infarction (AMI) after thrombolytic    therapy  with  streptokinase  in  Hamadan  Ekbatan  Educational   Hospital  in    1997, we performed a quasi experimental study according to reference time    after  onset  of symptoms.  Patients  with  A.MI  were  divided  in  two  groups:    control group and interference ( streptokinase group ).       The hospital mortality was 10% and 18%  in interference  and control groups    respectively.  The  incidence  of  pulmonary edema  and Cardiogenic shock    (killip class III,IV) was 11% & 4% in interference group respectively , and 16% &    9% in control group respectively.       According   to   the   results  obtained,  the  incidence of  sever MR(+4) and    ejection fraction (EF) in interference group were 3.5% and  11%  respectively.      These values for control group were  9%  and  37%  respectively.  The results    showed  the  improvement  of left  ventricular function in interference group    due to reperfusion after thrombolytic therapy.