Background: Patients with acute anterior ST-segment elevation myocardial infarction (STEMI) and right bundle-branch block (RBBB) have high mortality risk, which may be stratified by early ECG changes. Our objective was to find out and to compare in-hospital outcome of patients presenting with acute anterior STEMI with or without complete RBBB.Methods: This prospective cohort study was conducted in the Department of Cardiology, Dhaka Medical College Hospital, Dhaka, over a period of one year from March 2016 to February 2017. A total of 184 patients were included in this study of which 32 patients were included in group A (acute anterior STEMI with complete RBBB) and 152 patients were included in group B (acute anterior STEMI without any BBB or fascicular block).Results: RBBB was documented in 17.4% (32) of patients with acute anterior STEMI. Acute LVF (50.0% vs. 26.3%, p<0.05), Cardiogenic shock (31.3% vs. 13.2%, p<0.05) and mortality (21.9% vs 7.9%, P<0.05) were more frequently observed in patients with complete RBBB in comparison to patients without any BBB or fascicular block (FB). Among the AMI patients with RBBB, permanent RBBB was associated with a greater incidence of acute LVF (54.2% vs 37.5%, p>0.05), cardiogenic shock (37.5% vs 12.5%, p>0.05) and mortality (25% vs 12.5%, p>0.05).Conclusion: In this study right bundle branch block accompanying acute anterior STEMI was associated with high in-hospital adverse outcomes.Cardiovasc. j. 2018; 11(1): 31-38
Introduction: Acute myocardial infarction is very common in Bangladesh. It is one of the most common causes of mortality worldwide. The clinical course is associated with various complications.
Materials and Methods: To assess the short-term outcome of acute coronary syndrome we select 100 patients. The study was conducted at the Medicine wards of Khulna Medical College Hospital, Khulna from February’2019 to August’2019. We observed the clinical presentations, ECG findings, echocardiographic findings, short term complications and outcome.
Results: We found that most of the patients (61%) were within 45-64 years of age. Chest pain was the most common (85%) presentation. NSTEMI is more common than STEMI. 53% patients developed complications. Acute LVF is the most common (23%) complication. AV block is the most common arrythmia (10%). We found overall mortality 38%.
Conclusion: Early detection of complications is essential for reduction of morbidity and mortality. This study will help to evaluate short-term complications and to give appropriate management.
Medicine Today 2021 Vol.33(1): 42-44
Background: Coronary artery disease is an important medical and public health issue as it is common and leading cause of mortality and morbidity in Bangladesh as it is throughout the world. This study was carried out to determine the existence of seasonal rhythms in hospital admissions due to acute myocardial infarction (AMI) in Dhaka Medical College Hospital.
Methods: This cross-sectional observational study was conducted during the period of April 2015 to March 2016 among the patients with AMI admitted at the Cardiology Department of DMCH. 882 patients were enrolled.
Results: The highest number of patients were admitted during winter (n=285, 32.3%) followed by post monsoon (n=213, 24.1%) and monsoon (n=194, 22.0%). The lowest number of patients were admitted during summer (n=190, 21.5%). The hospital admission was significantly higher in winter compared to other seasons (p-value versus summer, monsoon and post monsoon was 0.008, 0.011 and 0.042 respectively).
Conclusion: A seasonal variation in the hospital admission due to AMI with a peak in winter was clearly demonstrated in the study. Persons admitted to hospital with AMI tend to be all age groups and both sexes present a stronger seasonal variation peak admission in winter.
Cardiovasc. j. 2020; 12(2): 126-134
Introduction:The myocardial infarction (MI) mortality has decreased markedly during recent decades, a decrease that has multiple causes. In spite of improvements, the incidence of acute MI has remained high and cardiovascular disease is still the leading cause of death, afflicting almost 50 % of both men and women. Coronary heart disease accounts for most of the cardiovascular events, and MI is the single most important contributor to the mortality and morbidity 1 .
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.