Study of incidence and clinical profile of cardiac arrhythmias in patients presenting with acute STEMI

 

 

Abstract              Aim and Objective: To study incidence and clinical profile of cardiac arrhythmia in acute STEMI. Methods: Total 100 patients admitted with acute MI were studied. Diagnosis of MI was Based on detection of a rise and/or fall of cTn values with Symptoms of acute myocardial ischaemia; New ischaemic ECG changes; Development of pathological Q waves; Imaging evidence of new loss of viable myocardium or new regional wall motion abnormality in a pattern consistent with an ischaemic aetiology. Holter Monotoring and Multipara Monitor used to record arrhythmia in all patients for first 48 hr. Result: 86 patients out of 100 had any form of Arrhythmia. Out of 70 males, 59(84.2%) and out of 30 female, 27(90%) had arrhythmia. Conclusion: Among all arrhythmias, VPC had the highest occurrence (80.23%) followed by AIVR and CHB (11.63% each) and VT (9.30%). Majority of Patients with Anterior, Inferior and Infero-posterior wall STEMI develops arrhythmia (>85%) as compared to Antero-lateral and Infero-lateral STEMI (<75%).

Key Word: Arrhythmia, Myocardial Infarction, Thrombolysis, VPCs