Clinical Research Directory

Inclusion Criteria: * All patients will be subjected to full history taking, meticulous general examination, and local cardiac examination * Age ≥ 18 years * AMI diagnosis : clinical, laboratory (troponins level), ECG and coronary angiography indicated occlusion or (≥50% stenosis of any coronary artery or its major branches) Exclusion Criteria: * Patients with aortic coarctation, * Coronary artery bypass grafting surgery, * Coronary intervention, * Congestive heart failure, * Rheumatic heart disease, * Presence of coronary myocardial bridges, * Organic cardiac disease such as combined heart valve disease, * Congenital heart defects, * Any inflammatory diseases like myocarditis or pericarditis, traumatic cardiac injury or other primary heart diseases, * Dilated cardiomyopathy, * Hypertrophic cardiomyopathy, * Patients complicated with malignant arrhythmias. * Patients with severe haematological disease, * Infection as tuberculosis, * Pulmonary embolism, * Organ failures or serious lesions (such as brain, lung, liver and kidney), * Severe autoimmune diseases as arthritis and inflammatory bowel disease, * Tumours, * Allergic diseases, * Connective tissue diseases, * Trauma, * And pregnant women or patients with mental disorders such as depression who are unable to cooperate with the study.