Anterior Wall Myocardial Infarction With Conduction Defect And It's Outcome During Hospital Stay
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Date
2019-01
Journal Title
Journal ISSN
Volume Title
Publisher
World Wide Journals
Abstract
Background: Qrbb myocardial infarction has high mortality and morbidity. So we want to study in hospital outcome of qrbbb myocardial infarction Methods: It is a prospective study. We studied qrbbb mi patients admitted in our hospital from December 2016 to June 2017 Results: About 90% of patients had heart failure. And 80% of patients required ventilatory support in the form of non–invasive positive pressure ventilation (NIPPV) or invasive ventilation. About 37% of patients had ventricular arrhythmias. Thrombolysis with streptokinase was done in 64% of patients and with tenecteplase for 20% of the patients. Percutaneous transluminal coronary angioplasty (PTCA) was done in 47% patients. Two patients had pharmacoinvasive PTCA. 16% of patients were conservatively treated due to late presentation. 24% patients died during hospital stay while 76% got discharged. 14% of patients had reversal of rbbb wave. 14% had stent thrombosis. 100% of patients had left anterior descending artery (LAD) disease. While 10% had left main coronary artery disease and 14% had triple vessel disease (TVD), 10% were sent for coronary artery bypass grafting (CABG). Conclusions: qRBBB AWMI carries high mortality of 24% with 90% of patients going in to heart failure. Ejection fraction is a good predictor of death and diabetes is a covariate of predictor of death.
Description
Keywords
Anterior Wall Mi, Conduction Block, Cad Outcome
Citation
Sathishkumar, Rajesh B, Balasubramanian, Veeramani S. R., Sivakumar G. S., Selvarani G., Saravanan R. R., Ramesh R., Hemanath T. R., NagasundarS., Saravanan M.. Anterior Wall Myocardial Infarction With Conduction Defect And It's Outcome During Hospital Stay. Indian Journal of Applied Research. 2019 Jan; 9(1): 13-15