A Study of left Atrial volume index in patients of Anterior Wall Myocardial infarction as a short-term prognostic indicator
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 9
Abstract
Background: Acute Myocardial infarction is a significant public health problem on increase in developing countries. Heart failure following AMI is a leading cause of cardiovascular mortality and morbidity and contributes to significantly to worldwide burden of CVS diseases. The incidence of HF has dramatically increased due to increasing role of coronary artery disease and hence early detection of patients with AMI at risk of development of in heart failure is necessary to limit myocardial injury and LV dysfunction. Aim of the study: To correlate left Atrial volume index in patients of Anterior Wall Myocardial infarction as a prognostic marker. Materials and methods: The current study was conducted in Dr. D. Y. Patil Hospital and Research Institute, Kolhapur, Maharashtra, India. The study design was prospective observational study. The study was conducted from September 2016 to August 2018. A total of 75 cases of diagnosed Myocardial Infarction were selected for the study.A total 75 patients with above mentioned inclusion and exclusion criteria were included in the study. All patients admitted and diagnosed as anterior wall Myocardial Infarction in D. Y. Patil Medical Hospital, Kolhapur were studied with detailed history and clinical examination. They were subjected to transthoracic 2D echocardiography examination by consultant. Results: There were a total 75 study subjects, out of which 70.66% were males & 29.34% were females. Mean age of study subjects was 55.81 ± 9.53 years. The mean hospital stay of study subjects having LAVI greater than 35 was 8 ± 1.89 day which was greater than that of patients with LAVI less than 35. This difference in mean hospital stay was statistically significant. There was a positive correlation between LAVI & hospital stay. This positive correlation was statistically significant.Conclusion: From the results of present study, we conclude that LAVI positively correlates with duration of stay in hospital and useful as short term prognostic factor in anterior wall myocardial infarction.
Authors and Affiliations
Shailendra Mane, Udayan Saha
Keywords
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