PMID- 21566782 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20110714 LR - 20211020 IS - 2008-8213 (Electronic) IS - 2008-7802 (Print) IS - 2008-7802 (Linking) VI - 1 IP - 4 DP - 2010 Fall TI - Assessment of clopidogrel on the left ventricular ejection fraction in acute myocardial infarction. PG - 257-9 AB - OBJECTIVES: Left ventricular (LV) dysfunction heart failure is one of the causes of morbidity and mortality following ST elevation myocardial infarction (STEMI). This study was done to determine the clopidogrel effect in preventing reduced LV function in patients with STEMI. METHODS: In this study, 144 patients with STEMI admitted to the Isfahan University of Medical Sciences hospitals were followed in two groups for one month. The case group received Clopidogrel, 300 mg, on admission and then, 75 mg daily, while the control group received routine therapy for STEMI without Clopidogrel. Left ventricular ejection fraction (LVEF) on the 4(th) day and one month after STEMI was measured by echocardiography. The results of LVEF were compared within and between groups. RESULTS: The mean LVEF in the case group on the 4(th) day and one month after STEMI were 45.92 and 52.15%, respectively (P<0.001). The mean LVEF in the control group on 4(th) day and one month after STEMI were 44.72 and 42.71%, respectively. CONCLUSIONS: We suggest that Clopidogrel is effective in prevention of LVEF reduction in patients with STEMI. FAU - Khosravi, Pejman AU - Khosravi P AD - Clinical Resident, Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences (IUMS), Isfahan, Iran. FAU - Shemirani, Hasan AU - Shemirani H FAU - Hedayatpour, Behnoud AU - Hedayatpour B FAU - Golabchi, Allahyar AU - Golabchi A LA - eng PT - Journal Article PL - Iran TA - Int J Prev Med JT - International journal of preventive medicine JID - 101535380 PMC - PMC3075522 OTO - NOTNLM OT - Heart failure OT - Myocardial infarction OT - Prevention COIS- Conflict of interest statement: All authors declare that they have no conflict of interest. EDAT- 2011/05/14 06:00 MHDA- 2011/05/14 06:01 PMCR- 2010/09/01 CRDT- 2011/05/14 06:00 PHST- 2010/08/02 00:00 [received] PHST- 2010/10/01 00:00 [accepted] PHST- 2011/05/14 06:00 [entrez] PHST- 2011/05/14 06:00 [pubmed] PHST- 2011/05/14 06:01 [medline] PHST- 2010/09/01 00:00 [pmc-release] AID - IJPVM-1-257 [pii] PST - ppublish SO - Int J Prev Med. 2010 Fall;1(4):257-9.