CLINICAL PROFILE OF TACHYARRHYTHMIAS IN ACUTE MYOCARDIAL INFARCTION AT VIMS, BELLARY

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 CLINICAL PROFILE OF TACHYARRHYTHMIAS IN ACUTE MYOCARDIAL INFARCTION AT VIMS, BELLARY

Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 27

Abstract

[b] BACKGROUND AND OBJECTIVES[/b]: In today’s competitive strain full world, AMI continues to be a major public health problem, despite impressive strides in diagnosis and management over the past three decades, AMI is becoming an increasingly important problem in developing countries. An attempt has been made in this study to know the incidence, diagnosis and management of various tachyarrhythmias that occur in the first week of MI and their impact on subsequent prognosis. [b]AIMS AND OBJECTIVES[/b]: 1. To study the incidence of various tachyarrhythmias following AMI. 2. To assess the impact of various tachyarrhythmias on prognosis and mortality [b]MATERIAL AND METHODS[/b]: The study was conducted for a period of 1 year starting from November 2006 to October 2007. Total of 100 cases of AMI admitted to ICCU of VIMS, Bellary were studied with special reference to tachyarrhythmias [b]RESULTS & CONCLUSION[/b]: Incidence of AMI was higher in 6th decade, male preponderance with M:F = 3.7:1, most common risk factors being smoking -60%, HTN – 44% and Hyperlipidemia - 35%. Most common type of MI was AWMI (58%), followed by IWMI (35%). Tachyarrhythmias were the most common complications during first week of AMI (62%), LVF (35%) and cardiogenic shock 11%. Sinus tachycardias, VPB, VT and VF were common in AWMI, among them Ventricular premature beats were the commonest tachyarrhythmias following AMI followed by sinus tachycardia, which was followed by ventricular tachycardia. Overall mortality was 21%, tachyarrhythmias contributed to 42.85% of total mortality. Among tachyarrhythmias highest mortality was with VF (100%) followed those with VT (27.3%).

Authors and Affiliations

Madhu K. J, Sunil Kumar

Keywords

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EP ID EP158997
DOI 10.14260/jemds/926
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