Study of ST Segment Resolution after Thrombolysis in Acute Myocardial Infarction- As Predictor of Outcome
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 1
Abstract
Background: Coronary heart disease (CHD) is a major cause of mortality and morbidity all over the world. Acute myocardial infarction is one of the most common diagnoses in hospitalised patients in industrialized countries. For this reason an attempt has been made in this study to determine the failure rate of thrombolysis in Acute Myocardial Infarction using ECG criteria. Material and Methods: One hundred cases of acute ST elevation Myocardial infarction were taken for the study admitted between March 2015 to May 2016. Patients were taken from ICCU of department of medicine S.S. Medical College and S.G.M. Hospital Rewa (M.P.). Written and informed consent was taken from each patient to participate in the study. Results: 79% cases were males of which maximum belonged to the 51-60 yrs age group while majority of females were from 61-70 years age group. 77.17% of those who had successful thrombolysis were males while 83.3% of those who had failed thrombolysis were also males. Diabetes, Hypertension and previous history of Ischemic heart diseases were risk factors for STEMI. Conclusion: Our study concluded that long symptom to needle time is an important predictor of failed thrombolysis in acute myocardial infarction patients. Hence it is important to educate public about prompt recognition of symptoms and seeking medical help urgently. patients with old age, diabetes, hypertension and dyslipidemia, such patients should be monitored and treated aggressively.
Authors and Affiliations
Keshav Singh, Ranjana Mandal, K. D. Singh, Manoj Indurkar, Praveen Kumar Baghel, Anurag Gupta
Keywords
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