scholarly journals Clinical Outcomes of Intra-Aortic Balloon Counterpulsation in Patients with ST Elevation Myocardial Infarction: Experience at our Tertiary Care Hospital

2014 ◽  
Vol 7 (6) ◽  
pp. 765-769
Author(s):  
Amit Joshi
Keyword(s):  
Myocardial Infarction ◽  
Clinical Outcomes ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
St Elevation Myocardial Infarction ◽  
Care Hospital ◽  
St Elevation ◽  
Intra Aortic Balloon Counterpulsation ◽  
Balloon Counterpulsation

scholarly journals Effect of Gender on the Outcomes of ST-Elevation Myocardial Infarction at a Tertiary Care Hospital in Riyadh, Saudi Arabia

Cureus ◽  
2020 ◽  
Author(s):  
Mohammed S Alharbi ◽  
Bander K Alanazi ◽  
Ibrahim A Alquhays ◽  
Nawaf A Alhamied ◽  
Abdullah Al Shimemeri
Keyword(s):  
Myocardial Infarction ◽  
Saudi Arabia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
St Elevation Myocardial Infarction ◽  
Care Hospital ◽  
St Elevation

Frequency of Modifiable and Non-Modifiable Risk Factors of ST elevation Myocardial Infarction at Tertiary Care Hospital

2021 ◽  
Vol 15 (9) ◽  
pp. 3040-3042
Author(s):  
Mubashir Kolachi ◽  
Zahid Naseeb Ansari ◽  
Tahir Hussain ◽  
Imran Karim ◽  
Muhammad Khan Soomro ◽  
...  
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Male Gender ◽  
St Elevation Myocardial Infarction ◽  
Modifiable Risk Factors ◽  
Care Hospital ◽  
Type Ii ◽  
St Elevation

Objective: To determine the frequency of modifiable and non-modifiable risk factors of acute ST elevation myocardial infarction at tertiary care Hospital. Methods: This study was conducted in the department of Cardiology, Liaquat University Hospital Jamshoro, from July 2019 to January 2020. All the patients those presented with myocardial infarction and either of gender were included in the study. After taking complete clinical examination and diagnosis, patients were interviewed regarding family history, hypertension, diabetes, smoking, alcohol consumption, dietary habits and life style activities. Non modifiable predisposing risk factors were defined as age, gender and family history. Modifiable risk factors were defined as elevated serum cholesterol, presence of type II DM, cigarette smoking, obesity, a sedentary lifestyle and hypertension. All the data was recorded in self-made proforma. Data analysis was done by SPSS version 21 Results: Total 100 patients were studied; most common age group was 41-50 years (45.0%), and 51-60 years (35.0%). According to the types of myocardial infarction, Acute anterior wall MI was in 25.0%, Acute inferior MI was in 20.0%, EXT ANT WALL MI was in 16.0% and Acute inferior +RV MI was in 15.0% of patients. Elevated age in 70.0% and male gender in 69% of cases were found to be most common non-modifiable risk factors, while frequently seen Modifiable risk factors were smoking, type II diabetes, hypercholesteremia, hypertension, and physical activities. Conclusion: It was observed that elevated age, male gender, smoking, diabetes and hypertension are frequent risk factors for ST elevation myocardial infarction. Keywords: Modifiable, non-modifiable, risk factors, MI

scholarly journals Challenges in Timely Pharmacological Reperfusion Therapy of Acute ST-Elevation Myocardial Infarction Patients: A Cross-sectional Study

2021 ◽  
Author(s):  
Prakriti Snehil ◽  
Anwar Hussain Ansari ◽  
Praloy Chakraborty ◽  
Niveditha Devasenapathy
Keyword(s):  
Myocardial Infarction ◽  
Thrombolytic Therapy ◽  
Tertiary Care ◽  
Reperfusion Therapy ◽  
St Elevation Myocardial Infarction ◽  
System Level ◽  
Care Hospital ◽  
Cross Sectional ◽  
Coronary Syndrome ◽  
St Elevation

Introduction: Acute ST-Elevation Myocardial Infarction (STEMI) is the most severe presentation of an Acute Coronary Syndrome (ACS) resulting from sudden occlusion of one of the major epicardial coronary arteries resulting in myocardial injury and necrosis within minutes to few hours. Despite Primary Percutaneous Coronary Intervention (PPCI) being the gold standard, thrombolytic therapy is still the most common form of reperfusion therapy in eligible patients of acute STEMI even in large metropolitan cities in India. Aim: To find the proportion of STEMI patients receiving thrombolytic therapy within four hours of the onset of symptoms and within 30 minutes of reaching the hospital and to explore factors related to Pain-To-Door (P2D) delay. Materials and Methods: This was a single-centre cross-sectional observational study of 147 STEMI patients conducted at a tertiary care hospital in the National Capital Territory (India). from February to May 2017. Ethical clearance was obtained from the Institute’s Ethics Committee. All patients were interviewed and their medical records reviewed. Factors related to delay in reaching hospital and association of patient characteristics with those receiving thrombolytic therapy were explored using univariable and multivariable logistic regression. Results: Mean age of the study population was 52.1±13.1 years and 121 (82.3%) were men. Median P2D time was 4.7 hours (IQR- 2.2-17.0). Overall, 64 (43.5%) of 147 patients reached the hospital within four hours of chest pain. Only 5 (3.4%) patients availed ambulance to reach the hospital. Distance from the hospital, seeking care elsewhere and delay in reaction to symptom were reasons for the delay (>4 hours). Median Door-To-Needle (D2N) time was 45.9 minutes (IQR- 30.6-61.2). Patients who reached the hospital at night were more likely to be thrombolysed after adjusting for time to reach the hospital. Conclusion: Significant P2D and Door-To-Balloon (D2B) delays still exist in large metro cities in India. Action is needed both at the population level as well as system level to reduce these delays.

scholarly journals ST ELEVATION MYOCARDIAL INFARCTION

2015 ◽  
Vol 22 (05) ◽  
pp. 536-540
Author(s):  
Syed Fasih Ahmed Hashmi ◽  
Mashooq Ali Dasti ◽  
Nisar Ahmed Shah ◽  
Syed Saad Hussain ◽  
Munaza Gohar ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Serum Sodium ◽  
Sodium Level ◽  
Serum Sodium Level ◽  
Tertiary Care ◽  
St Elevation Myocardial Infarction ◽  
P Value ◽  
Care Hospital ◽  
Female Population ◽  
St Elevation

OBJECTIVE: To evaluate the frequency of hyponatremia and its prognosticimportance in ST elevation myocardial infarction. Period: Six months. Design: Case series.Setting: Tertiary care hospital Hyderabad. Methods: All the cases with ST elevation myocardialinfarction admitted in the CCU were recruited and evaluate for serum sodium level at admissionand then at 24, 48 and 72 hours. The data was analyzed in SPSS 16 and the frequency andpercentage was calculated. Results: One hundred patients with acute myocardial infarctionwere recruited and assessed for sodium level. The mean age ±SD of whole population was57.52±9.51 whereas in male and female population it was 58.72±7.53 and 53.84±7.93respectively. The sodium level was 130.21±3.42 and 127.41±4.21 in male and femalepopulation. The p-value was statistically significant (<0.01) in context to age and sex whereasthe age in context to hyponatremia is non significant (p=0.77). The hyponatremia and itsseverity was statistically significant in context to sex (p=0.04) and duration of the myocardialinfarction (p=0.03). The serum sodium level in context to duration of MI was also significant(p=0.03) whereas the mortality at the end of 30 days was 11% of which 02 patients had normalsodium level while the 09 had low sodium level (hyponatremia). Conclusion: Hyponatremia inpatients with acute STEMI is a important predictor of thirty days mortality.

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