A Study of New Onset Arrhythmias in Acute Myocardial Infarction
Authors/Creators
- 1. Associate Professor, Department of Medicine, Darbhanga, Medical College & Hospital, Laheriasarai, Bihar, India
- 2. Junior Resident, Department of Medicine, Darbhanga, Medical College & Hospital, Laheriasarai, Bihar, India
- 3. Assistant Professor, Department of Medicine, Darbhanga, Medical College & Hospital, Laheriasarai, Bihar, India
Description
Aim: To study various types of arrhythmias in relation to time between the admission and the onset. Material & Method: The present study was done a Cross-sectional prospective study conducted at the Department of Medicine, Darbhanga, Medical College & Hospital, Laheriasarai, Bihar, India. The study was conducted over a period of one year. Results: Predominance of alcoholism and smokers were present in the study group. Time interval between presentation and onset arrhythmias was studied in the study population. It was found that majority of arrhythmias occurred in the first day post MI which was 76.7%. Conclusion: Myocardial infarction was most common in 40 – 49 years age group. Incidence is least in below 30 years age group. Majority of deaths was seen in 50 – 59 years age group. Males were the predominant population and sex did not affect the prognosis significantly. Alcohol consumption and smokers were predominant in the study group. Alcoholism does not affect the outcome. Majority of arrhythmias occurred on day 1 post MI. the time interval between the presentation and onset of arrhythmias does not affect the prognosis significantly.
Abstract (English)
Aim: To study various types of arrhythmias in relation to time between the admission and the onset. Material & Method: The present study was done a Cross-sectional prospective study conducted at the Department of Medicine, Darbhanga, Medical College & Hospital, Laheriasarai, Bihar, India. The study was conducted over a period of one year. Results: Predominance of alcoholism and smokers were present in the study group. Time interval between presentation and onset arrhythmias was studied in the study population. It was found that majority of arrhythmias occurred in the first day post MI which was 76.7%. Conclusion: Myocardial infarction was most common in 40 – 49 years age group. Incidence is least in below 30 years age group. Majority of deaths was seen in 50 – 59 years age group. Males were the predominant population and sex did not affect the prognosis significantly. Alcohol consumption and smokers were predominant in the study group. Alcoholism does not affect the outcome. Majority of arrhythmias occurred on day 1 post MI. the time interval between the presentation and onset of arrhythmias does not affect the prognosis significantly.
Files
IJPCR,Vol14,Issue8,Article16.pdf
Files
(305.9 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:6e994c98aaee697f829df949b59a11cf
|
305.9 kB | Preview Download |
Additional details
Dates
- Accepted
-
2022-03-12
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue8,Article16.pdf
- Development Status
- Active
References
- 1. Stefan Michael Sattler 1,2*†, Lasse Skibsbye3†, Dominik Linz 4,5, Anniek Frederike Lubberding6, Jacob TfeltHansen1,7 and Thomas Jespersen. Ventricular Arrhythmias in First Acute Myocardial Infarction: Epidemiology, Mechanisms, and Interventions in Large Animal Models. Frontiers in Cardiovascular Medicine. November 2019 | Volume 6 | Article 158. 2. Rosamond W, Flegal K, Friday G, et al. Heart disease and stroke statistics-- 2007 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee [erratum appears in Circulation. 2007 Feb 6;115(5):e172. 3. Benjamin EJ, Wolf PA, D'Agostino RB, Silbershatz H, Kannel WB, Levy D. Impact of atrial fibrillation on the risk of death: the Framingham Heart Study. Circulation 1998;98:946–952. 4. Miyasaka Y, Barnes ME, Bailey KR, Cha SS, Gersh BJ, Seward JB. Mortality trends in patients diagnosed with first atrial fibrillation: a 21-year community-based study. J Am Coll Cardiol 2007;49:986–992. 5. Ehrlich JR, Nattel S, Hohnloser SH. Atrial fibrillation and congestive heart failure: specific considerations at the intersection of two common and important cardiac disease sets. J Cardiovasc Electrophysiol 2002;13:399–405. 6. Cha YM, Redfield MM, Shen WK, Gersh BJ. Atrial fibrillation and ventricular dysfunction: a vicious electromechanical cycle. Circulation 2004;109:2839–2843. 7. Wang TJ, Larson MG, Levy D, Vasan RS, Leip EP, Wolf PA. Temporal relations of atrial fibrillation and congestive heart failure and their joint influence on mortality: the Framingham Heart Study. Circulation 2003;107:2920–2925. 8. Dayan V, Soca G, Parma G, Mila R. Does early coronary artery bypass surgery improve survival in non-ST acute myocardial infarction. Interact Cardiovasc Thorac Surg. 2013 Apr 10 9. Kontoyannis DA, Anastasiou-Nana MI, Kontoyannis SA, Zaga AK, Nanas JN. Intravenous amiodarone decreases the duration of atrial fibrillation associated with acute myocardial infarction. Cardiovasc Drugs Ther. 2001 Mar. 15(2):155-60 10. Bloch Thomsen PE, Jons C, Raatikainen MJ, Moerch Joergensen R, Hartikainen J, Virtanen V, et al. Longterm recording of cardiac arrhythmias with an implantable cardiac monitor in patients with reduced ejection fraction after acute myocardial infarction: the Cardiac Arrhythmias and Risk Stratification After Acute Myocardial Infarction (CARISMA) study. Circulation. 2010 Sep 28.122(13):125 8-64. 11. Eldar M, Canetti M, Rotstein Z, Boyko V, Gottlieb S, Kaplinsky E. Significance of paroxysmal atrial fibrillation complicating acute myocardial infarction in the thrombolytic era. SPRINT and Thrombolytic Survey Groups. Circulation 1998; 97:965–970.12. Pedersen OD, Abildstrom SZ, Ottesen MM, Rask-Madsen C, Bagger H, Kober L. Increased risk of sudden and non-sudden cardiovascular death in patients with atrial fibrillation/flutter following acute myocardial infarction. Eur Heart J 2006; 27:290–295. 13. Xue YX, Aye NN, Hashimoto K. Antiarrhythmic effects of HOE642, a novel Na+-H+ exchange inhibitor, on ventricular arrhythmias in animal hearts. Eur J Pharmacol. 1996:317:309–16. 14. Sack S, Mohri M, Schwarz ER, Arras M, Schaper J, Ballagi-Pordány G, et al. Effects of a new Na+/H+ antiporter inhibitor on postischemic reperfusion in pig heart. J Cardiovasc Pharmacol. 1994: 23:72–8. 15. Wirth KJ, Maier T, Busch AE. NHE1- inhibitor cariporide prevents the transient reperfusion-induced shortening of the monophasic action potential after coronary ischemia in pigs. Basic Res Cardiol. 2001:96:192 – 7. 16. Rubboli A, Colletta M, Herzfeld J, Sangiorgio P, Di Pasquale G. Periprocedural and medium-term antithrombotic strategies in patients with an indication for longterm anticoagulation undergoing coronary angiography and intervention. Coron Artery Dis 2007;18:193–199. 17. Ruiz-Nodar JM, Marin F, Hurtado JA, Valencia J, Pinar E, Pineda J. Anticoagulant and antiplatelet therapy use in 426 patients with atrial fibrillation undergoing percutaneous coronary intervention and stent implantation implications for bleeding risk and prognosis. J Am Coll Cardiol 2008;51:818–825. 18. Jabre P et al: atrial fibrillation and death after myocardial infarction. A community Study. Circulation. 2011; 123:2094-100. 19. Sutton MSJ, Lee D, Rouleau JL,Left Ventricular Remodeling and Ventricular Arrhythmias after Myocardial Infarction, American Heart Association Journals, 2003, 257 7-82. 20. Prognostic significance of arrhythmias in acute myocardial infarctionBrenhardt G, Seipell ,Loogen F – Z Kardiol – Jun 1977 21. Good A., Wells A., Katz B., Alexander, M. ., Klokol D., Chen M. K., Wong, M. B., Cox D. C., & Lakey, J. R. MALDI-ToF Analysis of Mitochondrial Peptides. Clinical Medicine Insights, 2022:3(2), 297– 303. 22. Arrhythmias following revascularization procedures in the course of acute myocardial infarction : are they indicators of reperfusion or ongoing ischemia - Tatli E, Alicik G, Buturak A, Yilmaztepe M, Aktoz M – Scientific world journal – Jan – 2013 23. Early sustained ventricular arrhythmias complicating acute myocardial infarction - Piccini Jp, Berger Js, Brown Dl – American journal of Medicine – Sep – 2008.