A STUDY OF CLINICAL PROFILE OF UNRECOGNISED MYOCARDIAL INFARCTION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 58
Abstract
BACKGROUND Atypical and silent myocardial infarctions were grouped together as unrecognised myocardial infarction. The prognosis for patients with unrecognised myocardial infarction is as serious as that of recognised myocardial infarction. It is difficult to choose methods by which to identify these patients and to take decisions about secondary prevention and medical treatment. Detailed knowledge about this disease entity is therefore important and must include a thorough understanding of which patient subgroups are especially vulnerable. The aim of the study is to study the presenting symptoms listed as those of unrecognised myocardial infarction in patients attending NRIMCH with no chest pain. MATERIALS AND METHODS Twenty-two patients over the age of 40 years with these symptoms were studied. All investigations including serial ECG, cardiac enzymes and echocardiogram were done and the outcome assessed. RESULTS Females dominated the study. Out of 22 patients, 50% presented with breathlessness, 45.45% with sweating, 36.36% with abdominal pain, 31.82% with cough and expectoration, 27.27% with fever, 22.73% with nausea and vomiting, 13.64% with oedema, 18.18% with loose stools, 9.09% each with palpitation and hemiplegia, 4.55% each with giddiness, bleeding per rectum and coma. Four died during the study period. CONCLUSION It is recommended that an ECG and cardiac enzymes at least be a part of clinical workup offered to all patients with any symptom, however, atypical that might indicate a myocardial infarction.
Authors and Affiliations
Srikanth Evuru, Samadi Venkata Krishna Rao
Keywords
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- EP ID EP226187
- DOI 10.14260/Jemds/2017/927
- Views 97
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