Clinical, E.C.G. And Echocardiographic Profile of Patients Presenting With Acute St Elevation Myocardial Infarction (Stemi) in a Tertiary Care Institute at Tamilnadu, South India

Gopalakrishnan, Senthilkumar; Govindharaju, Anandh

doi:10.18410/jebmh/2018/638

Cited by 4 publications

(5 citation statements)

References 28 publications

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“…More than threefourths of patients presented with typical chest pain, which is in line with an Indian study in which 88% of patients presented with chest pain and 41% with breathlessness [21]. In another Indian study, chest pain was the most common presenting symptom [22].…”

Section: Plos Onesupporting

confidence: 85%

“…In the current study, hypertension and diabetes mellitus are the two commonest risk factors, while RVI and dyslipidemia are seen in some patients. This is closer to the study done in Thanjavur, India, where type II diabetes mellitus was the most common modifiable risk factor [22]. This similarity might be because type 2 diabetes mellitus is increasing and is a powerful risk factor for IHD [5].…”

Section: Plos Onesupporting

confidence: 72%

“…The ejection fraction of the participants was 26.6% with EF < 40% and 69% with EF < 51%, based on the location of the infract AWMI by ECG. 32.5% of those had EF 40%; based on Echo patients with AWMI, 42.8% had EF < 40%, which differs from the study done in south India, where there were more patients with LVEF < 40% in the AWMI group (64.4%) [22]. This finding might be because of the time difference in Echo during the hospital stay, and the method of ejection fraction estimation by the echocardiographer may be different in the two study areas.…”

Section: Plos Onementioning

confidence: 56%

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Electrocardiogram and echocardiography findings and the outcomes of patients with myocardial infarction: Retrospective study in tertiary care hospitals in Northwest Ethiopia

Tsega,

Awoke,

Sendekie

et al. 2023

PLoS ONE

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Background Myocardial infarction (MI) is diagnosed when there is a rise in cardiac biomarkers along with supportive evidence in the form of typical symptoms, suggestive electrocardiographic (ECG) changes, or imaging evidence of a new loss of viable myocardium or a new regional wall motion abnormality. The data regarding the use of ECG and echocardiography (Echo) findings and their impact on mortality are still lacking in Ethiopia. This study assessed the utilization of ECG and Echo findings and outcomes of patients with MI in tertiary care hospitals in Northwest Ethiopia. Methods A retrospective chart review was conducted on patients with MI who were admitted to the adult intensive care units (ICUs) of two selected hospitals between January 2018 and July 30, 2021. Data was entered and analyzed using the SPSS 25 software. Logistic regression analysis was used to assess the association between in-hospital mortality and other variables. A P-value < 0.05 was considered significant. Results Among the 203 participants, 67.5% were male, and the mean age of the participants was 59 (13.8). Around two-thirds (66.5%) of patients had STEMI and a regional all-motion abnormality. More than half (54.1%) of the cases were in the anteroapical region. For MI, there was a 23.2% inconsistency between ECG and Echo findings. The rate of in-hospital mortality for patients with MI was 23%. Pulmonary hypertension [AOR = 7.8, 95% CI: 1.72–34.93], inferobasal regional wall motion abnormality [AOR = 7.9, 95% CI: 1.340–46.093], Killip’s classes III and IV [AOR = 2.7, 95% CI: 1.103–6.314], infection [AOR = 3.2, 95% CI: 1.108–10.65], and ischemic stroke [AOR = 1.9, 95% CI: 1.091–5.222] were significantly associated with in-hospital mortality compared with their counterparts. Conclusions The mortality of patients with MI in this study was higher than in other reports. Killip’s class, pulmonary hypertension, infection, ischemic stroke, and inferobasal regional wall motion abnormalities were significantly associated with the in-hospital mortality of the patients with MI. There was a higher degree of inconsistency between ECG and Echo findings. The treatment of patients with MI should be tailored to their specific risk factors and causes.

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Section: Plos Onesupporting

confidence: 85%

Section: Plos Onesupporting

confidence: 72%

Section: Plos Onementioning

confidence: 56%

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Electrocardiogram and echocardiography findings and the outcomes of patients with myocardial infarction: Retrospective study in tertiary care hospitals in Northwest Ethiopia

Tsega,

Awoke,

Sendekie

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

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“…The data was gathered and the studies and analysis was carried out the tables above shows all the data arranged in a precise way. According to a study carried out by Bjornson and his fellows the mean age of the patients that usually report chest pain at the hospital was above 60 [13][14] . And there were almost 56% patients in their study.…”

Section: Discussionmentioning

confidence: 99%

Estimation of Prevalence Rates of the Acute Coronary Syndrome (ACS) among Patients Presented with Chest Pain in the Cardiac Center

Anwar¹,

Nazim²,

Memon³

et al. 2022

PJMHS

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Background: Chest pain has been observed in the number of peoples. This is the major cause of hospital visit. Objective: The purpose of the study was to observe the acute coronary syndrome prevalence. The association of the chest pain with the cardiovascular risk factors was also studied. Study design: It is an observational study with statistical approach, conducted at Wazirabad Institute of Cardiology, Wazirabad and Khyber Teaching Hospital, Peshawar. Material and Methods: The study was conducted from Dec 2021 to May 2022. The 101 patients visited the teaching hospital of our department were included in the study. Focusing on the history of hypertension diabetes and smoking all the participants involved in the study were interviewed. The acute coronary syndrome prevalence rates were calculated. In order to find the correlation of the variables with the ACS the linear regression analysis was performed. Results: The calculated mean age was observed to be 54± 16.5 years. Out of all the patients included in the study the 75% were male participants, rest of them were female. The hypertension symptoms were observed in the 37% patients. The diabetes were observed in 26% while 23% patients were smokers. The 50% patients had non-specific chest pain while 31% patients had atypical chest pain. The 18% patients had the typical chest pain. There were total 33% patients that were suffering from acute coronary syndrome. Among these patients there were 7% patients that had unstable angina and 10% had NSTEMI, with only 17% patients suffering from STEMI. The positive correlation of acute coronary syndrome with smoking hypertension age, gender was observed. Conclusion: ACS is the lethal forms of pain. It causes serious health issues especially in patients above 40 years. The prevalence of ACS and its link with chest pain in patients at the tertiary health center was analyzed. The prevalence of the disease has strong connection with the risk factors. Keywords: Acute coronary syndrome (ACS), hypertension, atherosclerotic plaque, chest pain and risk factor.

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“…World health organization reported that ischemic heart disease causes 8.1 million deaths [12]. The ACS main symptoms are unstable angina and myocardial infarction [13]. Depression, panic attack, and anxiety like psychiatric disorders are significantly related to non-cardiac chest pain with prevalence varying from 23% to 57% [14,15].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Acute Coronary Syndrome among Patients Presenting with Chest Pain

Sher¹,

Bashir²,

Humerah³

et al. 2022

PJMHS

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Background and Aim: Multiple organ diseases can cause chest pain. One of the most important differential diagnoses is acute coronary syndrome (ACS). The present study aim was to determine the incidence of ACS among patients presented with chest pain. Patients and Methods: This observational study was carried out on 168 patients presented with chest pain in the Department of Cardiology, DHQ Teaching Hospital / GKMC, Swabi and Punjab Institute of Cardiology Lahore. The duration of study was 6 months from October 2021 to March 2022. Chest pain, diabetes, hypertension, and smoking status from each individual were recorded. The incidence of ACS was determined. Patients presented with chest pain and had >16 years age were enrolled. Thoracic patients, traumatic chest pain, and local infectious patients were excluded. Nature of chest pain such as substernal pain, nitroglycerin relieved pain, and exertion provoked pain were assessed. ACS was diagnosed and confirmed by electrocardiograph (ECG), prior history, and cardiac biomarkers. Descriptive statistics was carried out in SPSS version 26. Results: Of the total patients, there were 116 (69%) male and 52 (31%) females. The prevalence of acute coronary syndrome was 62 (36.9%) among patients presented with chest pain. The overall mean age was 46.82±12.1 years with age range from 16 years to 80 years. The incidence of diabetes, hypertension, and smoker were 48 (28.6%), 66 (39.3%), and 38 (22.6%) respectively. Out of 168 patients, the prevalence of non-specific, atypical, and typical chest pain was 88 (52.3%), 50 (29.8%), and 30 (17.9%) respectively. Of the total 62 ACS patients, the incidence of STEMI, NSTEMI, and unstable angina were 28 (45.2%), 19 (30.6%), and 15 (24.2%) respectively. Conclusion: The present study found that the incidence of ACS was 36.9% among patients presented with chest pain. Acute coronary syndrome was the most important differential diagnoses in chest pain patients. If a patient is presenting with chest pain, the diagnosis of ACS needs to be strongly deduced, and prompt action taken so that the patient can undergo proper treatment as soon as possible. Keywords: Acute coronary syndrome, Chest pain, Prevalence

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Clinical, E.C.G. And Echocardiographic Profile of Patients Presenting With Acute St Elevation Myocardial Infarction (Stemi) in a Tertiary Care Institute at Tamilnadu, South India

Cited by 4 publications

References 28 publications

Electrocardiogram and echocardiography findings and the outcomes of patients with myocardial infarction: Retrospective study in tertiary care hospitals in Northwest Ethiopia

Electrocardiogram and echocardiography findings and the outcomes of patients with myocardial infarction: Retrospective study in tertiary care hospitals in Northwest Ethiopia

Estimation of Prevalence Rates of the Acute Coronary Syndrome (ACS) among Patients Presented with Chest Pain in the Cardiac Center

Prevalence of Acute Coronary Syndrome among Patients Presenting with Chest Pain

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