ABSTRACT
Abstract To Study failure of thrombolysis with streptokinase in acute myocardial infarction using E.C.G criteria a prospective study of patients presenting with acute myocardial infarction in G.M.C Jammu for a period of one year. A total of 220 patients who presented with acute myocardial infarction were included in the study . Out of 220 patients 193(87.7%) males and 27 (12.3%) females participated in the study. All the patients underwent thrombolysis with streptokinase. Out of 220 patients who were being thrombolysed with streptokinase, most of them (97; 41.1%) were in the age group of 56-65 years. Out of all the patients who underwent thrombolysis (n=220), thrombolytic failure was observed in 121 (55%) patients. Failure rate was significantly higher in the age group of 56-65 years (88; 72.7%). Significantly higher prevalence of thrombolytic failure with streptokinase was observed among diabetic patients (65.2% ) as compared to non diabetics (52.3%).
ABSTRACT
To evaluate the prevalence of vitamin D deficiency among patients of ACS and establish any correlation between two states.This prospective observational cross sectional analysis was carried out. Group-1: included 50 patients of ACS of both sex with any co morbid condition and Group 2: included age matched 50 apparently healthy subjects of both sex. Vitamin D levels were measured by radioimmunoassay & compared statically to find out any possible correlation. In the current study vitamin D deficiency was recorded in 38% and insufficiency in 52% of total patients of ACS taking total count to 90% and only 10 % of the population had adequate Vitamin D levels. Significant (p<0.01) correlation between the vitamin D deficiency and ACS in comparison to healthy controls was recorded. Study recorded a very high vitamin D deficiency in patients of ACS and suggests significant correlation between the two.