POST MYOCARDIAL INFARCTION ARRHYTHMIAS IN 1 24 HOURS

Author:

Jadav Viral1,Roy Rajesh2,Manvar Milind3,Bhattacharya Amal Kumar4

Affiliation:

1. Assistant Professor, Dept. of Medicine, Parul Institute of Medical Sciences and Research, Parul University, Limda, Tal. Waghodiya, Dist. Vadodara. 391760. Gujarat

2. Associate Professor, Dept. of Medicine, Parul Institute of Medical Sciences and Research, Parul University, Limda, Tal. Waghodiya, Dist. Vadodara. 391760. Gujarat.

3. Senior Resident, Dept. of Medicine, Parul Institute of Medical Sciences and Research, Parul University, Limda, Tal. Waghodiya, Dist. Vadodara. 391760. Gujarat.

4. Professor, Dept. of Medicine, Parul Institute of Medical Sciences and Research, Parul University, Limda, Tal. Waghodiya, Dist. Vadodara. 391760. Gujarat.

Abstract

BACKGROUND: Post myocardial infarction arrhythmias can very commonly lead to death. Hence we studied the various arrhythmias arisingwithintherst24hours ofmyocardialinfarction. METHODS: Myocardial infarction was conrmed with detailed history, clinical examination, laboratory investigations, and 12 lead electrocardiogram. 50 patients who presented within 1 hour of onset ofsymptoms were included in study. Patients' cardiac rhythm was monitored for at least 72 hours in intensive coronary care unit. RESULTS:IncidenceofvariousTachyarrhythmiaswere: 1. Ventriculartachycardia (8%), 2. AtrialFibrillation(4%), 3. Supraventriculartachycardia (2%). 4. Ventricularbrillationwas notobserved. CONCLUSION:Arrhythmias carrying very high mortality were complete heart block, bilateral bundle branch block and right bundle branch block. Arrhythmiaswithanteriorwallinfarctioncarriedbadprognosiswhile arrhythmiaswithinferiorwallinfarctionhadgoodprognosis.

Publisher

World Wide Journals

Reference42 articles.

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2. Thompson PL. Coronary Care Manual 2e. Elsevier 2011.

3. Myocardial Infarction High-Risk Subgroups Peter B. Berger, MD, and Thomas J. Ryan, MD

4. Leo Schamroth, Electrocardiography, 8th edition.

5. Chockalingam A, Gnanavelu G, Subramaniam T, Dorairajan S, Chockalingam V. myocardial infarction: presentation and acute outcomes.

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