TCTAP A-007 Correlation of Left Ventricular Ejection Fraction with In-hospital Outcomes After First Attack of Non-ST Segment Elevation Myocardial Infarction

The study aimed at investigating the impact of LV ejection fraction on elevated Troponin-I level and in-hospital outcomes in patients with the first attack of Non-ST-segment elevation Myocardial Infarction.Methods This cross-sectional analytical study was conducted in the department of cardiology in Mymensingh Medical College Hospital from December 2015 to November 2016. In our study, it also showed that LV ejection fraction levels had a negative correlation with the levels of Troponin-I with medium strength of association (r = -0.5394, p = 0.001).Conclusion The present study concluded that the lower was the LV ejection fraction level higher was the Troponin-I level in the first attack of NSTEMI patients and the more severe was in-hospital outcomes. The study also recommends that aggressive treatment strategy including early PCI and closer surveillance should be offered to NSTEMI patients with low LVEF levels, as these patients are more prone to develop complications like heart failure, arrhythmia, and even sudden cardiac death.