Volume : 08, Issue : 09, September – 2021
Title:
26.FREQUENCY OF CARDIOGENIC SHOCK IN PATIENTS PRESENTING WITH NSTEMI AND AGE LESS THAN 45 YEARS
Authors :
Dr Kiran Kumari, Dr Aroon Kumar, Dr Ranjeeta Rajni, Dr Vikash Kumar, Dr Sindhiya, Dr Muhammad Zarrar Arif Butt, Dr Sandhiya Kumari
Abstract :
Introduction: An inferior wall myocardial infarction also known as IWMI, or inferior MI, or inferior ST segment elevation MI, or inferior STEMI occurs when inferior myocardial tissue supplied by the right coronary artery, or RCA, is injured due to thrombosis of that vessel. Objectives: The main objective of the study is to analyse the Frequency of cardiogenic shock in patients presenting with NSTEMI and age less than 45 years. Material and methods: This descriptive study was conducted in Health Department, Pakistan during 2020 to 2021. Briefly, we analyzed the incidence rates by age groups, IHM, LOHS, and the use revascularization procedures, such as coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI), for men and women with an STEMI and NSTEMI. Results: The data was collected from 100 patients of both male and female. Patients with NSTEMI were older than those with STEMI, and presented more often history of hypertension, previous MI and coronary revascularization procedures, and clinical signs of metabolic syndrome. Conclusion: It is concluded that the long-term outcome for early survivors of CS is worse than that of patients without CS.
Cite This Article:
Please cite this article in press Kiran Kumari et al, Frequency Of Cardiogenic Shock In Patients Presenting With Nstemi And Age Less Than 45 Years., Indo Am. J. P. Sci, 2021; 08(9).
Number of Downloads : 10
References:
1. Erdogan A, Coch M, Bilgin M, Parahuleva M, Tillmanns H, Waldecker B, Soydan N. Prognostic value of heart rate variability after acute myocardial infarction in the era of immediate reperfusion. Herzschrittmacherther Elektrophysiol. 2008;19:161–168.
2. Wiliński J, Sondej T, Kusiak A, Wiliński B, Kameczura T, Bacior B, Czarnecka D. Heart rate variability in the course of ST–segment elevation myocardial infarction treated with primary percutaneous transluminal coronary angioplasty in elderly and younger patients. Przegl Lek. 2014;71:61–65.
3. Larosa C, Sgueglia GA, Sestito A, Infusino F, Niccoli G, Lamendola P, Mariani L, Santangeli P, Lombardo A, Crea F, et al. Predictors of impaired heart rate variability and clinical outcome in patients with acute myocardial infarction treated by primary angioplasty. J Cardiovasc Med (Hagerstown) 2008;9:76–80.
4. Brateanu A. Heart rate variability after myocardial infarction: what we know and what we still need to find out. Curr Med Res Opin. 2015;31:1855–1860.
5. Huikuri HV, Raatikainen MJ, Moerch-Joergensen R, Hartikainen J, Virtanen V, Boland J, Anttonen O, Hoest N, Boersma LV, Platou ES, et al. Prediction of fatal or near-fatal cardiac arrhythmia events in patients with depressed left ventricular function after an acute myocardial infarction. Eur Heart J. 2009;30:689–698.
6. Stein PK, Domitrovich PP, Huikuri HV, Kleiger RE. Traditional and nonlinear heart rate variability are each independently associated with mortality after myocardial infarction. J Cardiovasc Electrophysiol. 2005;16:13–20.
7. Steg PG, James SK, Atar D, Badano LP, Blömstrom-Lundqvist C, Borger MA, Di Mario C, Dickstein K, Ducrocq G, Fernandez-Aviles F, et al. ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J. 2012;33:2569–2619.
8. Roffi M, Patrono C, Collet JP, Mueller C, Valgimigli M, Andreotti F, Bax JJ, Borger MA, Brotons C, Chew DP, et al. 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: Task Force for the Management of Acute Coronary Syndromes in Patients Presenting without Persistent ST-Segment Elevation of the European Society of Cardiology (ESC) Eur Heart J. 2016;37:267–315.
9. Gan, S.C.; Beaver, S.K.; Houck, P.M.; MacLehose, R.F.; Lawson, H.W.; Chan, L. Treatment of Acute Myocardial Infarction and 30-Day Mortality among Women and Men. N. Engl. J. Med. 2000, 343, 8–15
10. Jánosi, A.; Ferenci, T.; Ofner, P.; Lupkovics, G.; Becker, D.; Faluközy, J.; Polgár, P.; K˝oszegi, Z.; Horváth, I.; Jambrik, Z.; et al. Does Gender Have Prognostic Value Among Patients with Myocardial Infarction? Analysis of the Data from the Hungarian Myocardial Infarction Registry. J. Women’s Health 2018, 27, 1491–1498.