Early assessment of outcome by ST segment elevation after acute myocardial infarction

ABSTRACT

Early assessment of outcome by ST segment elevation after acute myocardial infarction. Observational study. This study was conducted at Shaheena Jamil Teaching Hospital Abbotabad and Islam Teaching Hospital Sialkot from 1[st] January 2012 to 30[th] April 2013. 160 cases of acute myocardial infarction were randomly selected from the patients attending to OPD and emergency of Shaheena Jamil Teaching Hospital Abbotabad and Islam Teaching Hospital Sialkot and their peripheral Districts. During the study period, 160 patients met the criteria for inclusion and were given thrombolytic therapy. Out of these, 136 [85%] patients were males and 24 [15%] patients were females. Mean age at the time of presentation was 51.0 tears. 91 [56.8] patients had acute anterior myocardial infarction, 58 [36.2%] had acute inferior myocardial infarction and 11 [6.8%] patients had miscellaneous findings. Average time lapse was 4.03 hours from onset of the chest pain to administration of streptokinase. Group A' [complete ST segment resolution] included 67 [41.8%] patients while there were 49 [30.6%] patients in group 'B' [partial ST segment resolution] and 44 [27.5%] patients on group 'C' [no ST segment resolution]. The ST segment was raised in all of the acute myocardial infarction cases. But ST segment was resolved in patients in which streptokinase injection was given 4 to 5 hours back