Admission Troponin T and ST segment resolution at 60 min. improve early risk stratification in ST elevation myocardial infarction treated with thrombolytic therapy

The aim of this study is to identify risk factors for cardiovascular events in patients with acute myocardial infarction and to define a high risk group of patients who need a special strategy of therapy through evaluation of cardiac troponin T on admission and ST- segment resolution at 60 minutes in STEMI patients treated with thrombolytics50 patients with ST -segment elevation acute myocardial infarction under streptokinase administration therapy and the same routine anti-infarction management strategy were followed up for one year. Quantitative cardiac troponin T blood sample on admission, other routine laboratory investigations and serial electrocardiographic data were obtained. Detailed history taking including risk factors e.g.: age, gender, diabetes mellitus, smoking, obesity, hypercholestrelemia, past history of diabetes mellitus and positive family history of sudden death in younger age or similar attacks.