PJMR-Pakistan Journal of Medical Research. 1994; 33 (4): 220-3
in English
| IMEMR
| ID: emr-95696
ABSTRACT
Two hundred and fourteen patients admitted to the coronary care unit at Punjab Institute of Cardiology, Lahore with acute myocardial infarction [MI] were analysed of these, 130 had reciprocal ST segment depression and 84 did not have these changes. 46 [35.4%] patients with reciprocal ST segment depression and 14 [16.7%] without these developed left ventricular failure [P<.02]. The mortality was significantly higher in the group with reciprocal changes than without i.e. 21 patients [16%] versus 5 patients [5.9%] [P<.04]. The size of MI assessed by the peal levels of creative kinase [CK] was significantly larger in patients with reciprocal changes [2459 +/- 1611 IU/L] [% t S.Dl compared with 1542 +/- 123'7 IU/L for those without [P<.01], even when the anterior and inferior MI were analysed separately. The patients with no reciprocal changes developed significantly more non-Q MIs t. e 23 [27.4%] compared to 10 [7.7%] for those with reciprocal changes [P<.01]. We conclude that the patients with reciprocal segment depression on admission ECG develop more complications related to acute infarction. These patients should be aggressively treated
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Coronary Disease
/
Electrocardiography
/
Heart Function Tests
Limits:
Humans
Language:
English
Journal:
Pak. J. Med. Res.
Year:
1994
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