CLINICAL OUTCOME OF PATIENTS ADMITTED WITH ACUTE ANTERIOR VERSUS ACUTE INFERIOR WALL MYOCARDIAL INFARCTION

Objective: To determine the clinical outcome of patients admitted with acute anterior versus acute inferior wall myocardial infarction. Study Design: Comparative cross-sectional study. Place and Duration of Study: The study was conducted in emergency departments and adult cardiology wards of A...

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Autores principales:	Moazzam Khan, Imtiaz Ahmed Khan, Naseer Ahmad Samore, Javeria Kamran, Anam Fatima Janjua, Ahmed Mustafa, Rashid Iqbal, Usman Ahmed, Fiaz Ahmed, Sohail Aziz
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	acute anterior myocardial infarction acute inferior wall myocardial infarction clinical outcome Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/263ba541cbd64ce9be65fc726a4c1d82
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spelling	oai:doaj.org-article:263ba541cbd64ce9be65fc726a4c1d822021-12-02T15:01:02ZCLINICAL OUTCOME OF PATIENTS ADMITTED WITH ACUTE ANTERIOR VERSUS ACUTE INFERIOR WALL MYOCARDIAL INFARCTIONdoi.org/10.51253/pafmj.v70iSuppl-4.60500030-96482411-8842https://doaj.org/article/263ba541cbd64ce9be65fc726a4c1d822020-12-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6050https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the clinical outcome of patients admitted with acute anterior versus acute inferior wall myocardial infarction. Study Design: Comparative cross-sectional study. Place and Duration of Study: The study was conducted in emergency departments and adult cardiology wards of Armed Forces Institute of Cardiology/National Institute of Heart Diseases, from Aug 2019 to Nov 2019. Methodology: This study was conducted on 340 patients (208 patients with Anterior wall myocardial infarction and 132 patients with inferior wall MI who presented with Acute ST-Elevation MI) to emergency department of Armed Forces Institute of Cardiology/National Institute of Heart Disease during specified period. Outcome was calculated using Electrocardiogram, Two-dimensional transthoracic echocardiogram, Troponin-I, baseline investigations and coro angiography Data was entered and analyzed with SPSS-23. Results: Mean age was 59.38 ± 12.91 years in each group. In clinical symptoms chest pain was highest n=255 (71.4%) followed by diaphoresis 55 (15.4%) and breathlessness 51 (14.3%). The most common complications in patients with inferior wall MI were brady arrhythmia 8 (2.3%) whereas left ventricular failure 41 (12.1%) was more prevalent in patients with anterior wall MI after TVCAD. The results of cardiogenic shock 5 (1.5%), ventricular tachycardia 3 (0.8%) in inferior wall myocardial infarction were comparative to the results of cardiogenic shock 18 (5.3%) ventricular tachycardia 2 (0.5%) in anterior wall myocardial infarction. The number of stable patients was 91 (43.7%) in Anterior wall myocardial infarction and 51 (38.6%) in inferior wall MI. Conclusion: The study shows the comparative clinical outcome of anterior wall myocardial infarction versus inferior wall myocardial infarction.Moazzam KhanImtiaz Ahmed KhanNaseer Ahmad SamoreJaveria KamranAnam Fatima JanjuaAhmed MustafaRashid IqbalUsman AhmedFiaz AhmedSohail AzizArmy Medical College Rawalpindiarticleacute anterior myocardial infarctionacute inferior wall myocardial infarctionclinical outcomeMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 4, Pp 892-896 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute anterior myocardial infarction acute inferior wall myocardial infarction clinical outcome Medicine R Medicine (General) R5-920
spellingShingle	acute anterior myocardial infarction acute inferior wall myocardial infarction clinical outcome Medicine R Medicine (General) R5-920 Moazzam Khan Imtiaz Ahmed Khan Naseer Ahmad Samore Javeria Kamran Anam Fatima Janjua Ahmed Mustafa Rashid Iqbal Usman Ahmed Fiaz Ahmed Sohail Aziz CLINICAL OUTCOME OF PATIENTS ADMITTED WITH ACUTE ANTERIOR VERSUS ACUTE INFERIOR WALL MYOCARDIAL INFARCTION
description	Objective: To determine the clinical outcome of patients admitted with acute anterior versus acute inferior wall myocardial infarction. Study Design: Comparative cross-sectional study. Place and Duration of Study: The study was conducted in emergency departments and adult cardiology wards of Armed Forces Institute of Cardiology/National Institute of Heart Diseases, from Aug 2019 to Nov 2019. Methodology: This study was conducted on 340 patients (208 patients with Anterior wall myocardial infarction and 132 patients with inferior wall MI who presented with Acute ST-Elevation MI) to emergency department of Armed Forces Institute of Cardiology/National Institute of Heart Disease during specified period. Outcome was calculated using Electrocardiogram, Two-dimensional transthoracic echocardiogram, Troponin-I, baseline investigations and coro angiography Data was entered and analyzed with SPSS-23. Results: Mean age was 59.38 ± 12.91 years in each group. In clinical symptoms chest pain was highest n=255 (71.4%) followed by diaphoresis 55 (15.4%) and breathlessness 51 (14.3%). The most common complications in patients with inferior wall MI were brady arrhythmia 8 (2.3%) whereas left ventricular failure 41 (12.1%) was more prevalent in patients with anterior wall MI after TVCAD. The results of cardiogenic shock 5 (1.5%), ventricular tachycardia 3 (0.8%) in inferior wall myocardial infarction were comparative to the results of cardiogenic shock 18 (5.3%) ventricular tachycardia 2 (0.5%) in anterior wall myocardial infarction. The number of stable patients was 91 (43.7%) in Anterior wall myocardial infarction and 51 (38.6%) in inferior wall MI. Conclusion: The study shows the comparative clinical outcome of anterior wall myocardial infarction versus inferior wall myocardial infarction.
format	article
author	Moazzam Khan Imtiaz Ahmed Khan Naseer Ahmad Samore Javeria Kamran Anam Fatima Janjua Ahmed Mustafa Rashid Iqbal Usman Ahmed Fiaz Ahmed Sohail Aziz
author_facet	Moazzam Khan Imtiaz Ahmed Khan Naseer Ahmad Samore Javeria Kamran Anam Fatima Janjua Ahmed Mustafa Rashid Iqbal Usman Ahmed Fiaz Ahmed Sohail Aziz
author_sort	Moazzam Khan
title	CLINICAL OUTCOME OF PATIENTS ADMITTED WITH ACUTE ANTERIOR VERSUS ACUTE INFERIOR WALL MYOCARDIAL INFARCTION
title_short	CLINICAL OUTCOME OF PATIENTS ADMITTED WITH ACUTE ANTERIOR VERSUS ACUTE INFERIOR WALL MYOCARDIAL INFARCTION
title_full	CLINICAL OUTCOME OF PATIENTS ADMITTED WITH ACUTE ANTERIOR VERSUS ACUTE INFERIOR WALL MYOCARDIAL INFARCTION
title_fullStr	CLINICAL OUTCOME OF PATIENTS ADMITTED WITH ACUTE ANTERIOR VERSUS ACUTE INFERIOR WALL MYOCARDIAL INFARCTION
title_full_unstemmed	CLINICAL OUTCOME OF PATIENTS ADMITTED WITH ACUTE ANTERIOR VERSUS ACUTE INFERIOR WALL MYOCARDIAL INFARCTION
title_sort	clinical outcome of patients admitted with acute anterior versus acute inferior wall myocardial infarction
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/263ba541cbd64ce9be65fc726a4c1d82
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CLINICAL OUTCOME OF PATIENTS ADMITTED WITH ACUTE ANTERIOR VERSUS ACUTE INFERIOR WALL MYOCARDIAL INFARCTION

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