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EVALUATION OF MYOCARDIAL TISSUE DOPPLER ECHOCARDIOGRAPHY AS A PREDICTOR FOR RECOVERY OF LEFT VENTRICULAR FUNCTION AFTER PERCUTANEOUS INTERVENTION FOR PATIENTS WITH CORONARY ARTERY DISEASE (Suez Canal University)
Egypt (IFMSA-Egypt) - Suez Canal University, Suez Canal
Department of Cardiology
Prof. Hesham Hegazy
Dr. Ahmed Saeed Yousef
Required: English Accepted: Arabic
Type of Research Project
- Clinical Project with Laboratory work
What is the background of the project?
Coronary artery disease is the leading cause of death in the world (45% of all Cardiovascular deaths) accounting for 12% of all deaths worldwide. In Egypt, the prevalence of CAD is 8.3%. There is growing interest in percutaneous treatment of CAD. The rationale for the recanalization is the possible improvement of left ventricular (LV) function through the recovery of hibernating myocardium. Several techniques are used to assess myocardial viability in patients with myocardial infarction (MI). Tissue Doppler imaging (TDI) enables direct measurements of myocardial tissue velocities. Experimental data suggest that analysis of pre-ejection velocities is highly sensitive to blood supply.
What is the aim of the project?
To assess the value of Tissue Doppler Imaging echocardiography in predicting recovery of myocardial function after percutaneous coronary intervention (PCI).
What techniques and methods are used?
Prospective cohort study where Patients with known chronic coronary artery disease proved by previous diagnostic coronary angiography and eligible for percutaneous coronary intervention (PCI) are enrolled, and will be followed up over period of 6 months after PCI. Patients presenting to the Suez Canal University hospital Cathlab for PCI will be subjected to An interview using a predesigned questionnaire, Clinical examination, Standard 12-lead electrocardiogram (ECG), Laboratory investigations (complete blood count, blood chemistry), Echocardiographic study, Percutaneous Coronary Intervention (PCI) , and follow up Echocardiography after 6 months.
What is the role of the student?
- The student will observe the practical experiments but will be highly involved in the analysis of the results
- The tasks will be done under supervision
- If the project includes “lab work”
- the student will take active part in the practical aspect of the project
- If the project is clinical
- the student will take active part in the clinical examination
- If the project is clinical
- the student will be allowed to work with patients
- The tasks of the student will be performed on his/her own
What are the tasks expected to be accomplished by the student?
Collecting medical history (done under supervision). Performing general and local examination (done under supervision). Collecting blood samples for lab measurements (done under supervision). Attaching 12-lead electrocardiogram and then contributing in giving results (done under supervision). Study and explain the basics of coronary artery disease and its causes (done alone).
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
Theoretical teaching about history, examination, clinical skills, interpreting lap results in form of lectures and clinical talks. 2-3 lectures per week conducted by tutors mentioned above.
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a scientific report
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
Know how to take medical history and perform a general examination. Interpretation of electrocardiogram, cardiac enzymes and blood count results.
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts: - Medical students - Graduated students (less than 6 months) - Pre-Medical students from the American-British system - Students in biomedical fields
- Bhatnagar SK; Al-Yusuf AR. Significance of early two-dimensional echocardiography after acute myocardial infarction. Int J Cardiol. 1984;5:575–584.
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