Predictors of Coronary Revascularization Outcomes in Type 2 Diabetic Patients With Acute Coronary Syndrome

Inclusion Criteria: * This study includes all patients (middle aged according to WHO 55 years of age) presented by ACS (STEMI , Non STEMI) from July 2020 to June2021 in both CCU Of Internal Medicine Departemennt and and EL Orman Assiut University Hospital of Cardiology and Cardiothoracic Surgery. ACS was defined and patients were managed according to the European Guidelines . Patients with acute chest pain and persistent (\>20 min) ST-segment elevation, i.e., STEMI generally reflected an acute total coronary occlusion. All patients received immediate myocardial reperfusion treatment by primary coronary intervention and angioplasty or fibrinolytic therapy, as appropriate. Patients with acute chest pain but no persistent ST-segment elevation, referred to as Non-STEMI included transient ST-segment elevation, persistent or transient ST-segment depression ,T-wave inversion, flat T waves or pseudo-normalized T waves or completely normal ECG at admission. Thygesen, K.; etal.2019 Exclusion Criteria: * -Ranal disease ie stage 3,4 or on dialysis. * Advanced hepatic diseases ie(child B,C) * Poor echo window including morbid obesity. * Age \>18 and more than 55 years old * Patients with previous history of significant valvular diseases,atrial fibrillation * EF less than 40%