A STUDY OF CORRELATION BETWEEN ELECTROCARDIOGRAPHIC FINDINGS & CORONARY ANGIOGRAM IN PATIENTS OF ACUTE CORONARY SYNDROME
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 51
Abstract
BACKGROUND In patients with Acute Coronary Syndrome, correlation of ischemic ECG abnormalities with the affected coronary territory has not been well-established. We sought to investigate the correlation of electrocardiographic abnormalities with the location of obstructive coronary artery disease (CAD) confirmed by CAG, in patients with Acute Coronary Syndrome. MATERIALS AND METHODS In this study, 50 patients of Acute Coronary Syndrome were included. ECGs were interpreted by cardiologist. Patients were subjected to tread-mill test and Troponin T analysis whenever required. All patients underwent Coronary angiogram. The results of Coronary Angiogram were correlated with electrocardiographic findings, in terms of identifying the culprit vessel and severity of MI. RESULTS We noticed that there was significant correlation between coronary anatomy and electrocardiographic finding in STEMI involving anterolateral wall and inferior wall. In rest of the Acute Coronary Syndromes like NSTEMI and LBBB, there was no significant correlation. Normal electrocardiograms were also found to be associated with significant coronary artery disease. CONCLUSION Coronary angiogram is the gold standard to study the complete coronary anatomy. It helps in initiating appropriate management for CAD if any. Electrocardiogram acts just like an initial tool in guiding the management. For further appropriate management it has to be followed by coronary angiogram.
Authors and Affiliations
Rajkumar Gurulingayya Hiremath, Durgaprasad Mallappa Kabade, Prashant Kumar Malkiwodeyar, Ameet Vasanthrao Khatawkar, Veeresh Basavaraj Hubballi, Ganeshgouda Majigoudra, Mohith H. N, Shravan Kumar Potker
Keywords
Related Articles
- EP ID EP608418
- DOI 10.18410/jebmh/2018/717
- Views 88
- Downloads 0
A STUDY OF BREECH PRESENTATION AND MATERNAL AND PERINATAL OUTCOME IN A TERTIARY CARE HOSPITAL OF WESTERN RAJASTHAN
BACKGROUND By definition breech presentation means foetal buttocks or the podalic pole of foetus is the presenting part, with sacrum being the denominator. Most newborns are born with cephalic presentation, but at the en...
PREDICTORS OF EARLY MORTALITY IN ANTERIOR CIRCULATION STROKE
To assess and evaluate the significance of common clinical parameters as independent indices of mortality in stroke. To evaluate and correlate Rodrigues and Joshi's prognostic score with Bandolier's prognostic index as p...
A PROSPECTIVE STUDY OF MODERATE TO SEVERE ANAEMIA IN ELDERLY HOSPITALISED PATIENTS IN A TERTIARY CARE CENTRE
BACKGROUND The prevalence of anaemia in elderly population is of great significance as it is a manifestation of the underlying disease and produces severe complications in the elderly. The etiopathogenesis of anaemia in...
HRCT THORAX FINDINGS OF INFLUENZA A H1N1 PNEUMONIA IN A TERTIARY CARE HOSPITAL IN SOUTH INDIA
BACKGROUND Influenza viruses are common seasonal pathogens affecting the human respiratory system. H1N1 pneumonia (swine flu) is a highly contagious respiratory disease caused by one of the several swine flu influenza A...
A STUDY OF MUCOCUTANEOUS MANIFESTATIONS IN AUTOIMMUNE CONNECTIVE TISSUE DISORDERS AT TERTIARY CARE CENTRE
BACKGROUND Our aim was to study the clinical and immunological profile of patients with newly detected connective tissue disease presented to a tertiary care centre. MATERIALS AND METHODS The study involved 51 patients w...