Atrioventricular block after acute myocardial infarction and its association with other clinical parameters in Pakistani patients: an institutional perspective

Abstract

ObjectivesConduction defects complicating acute myocardial infarction are frequently associated with increased morbidity and mortality. As frequency of this complication has not been widely studied in our population, therefore in this study we aimed to evaluate the frequency of complete atrioventricular block in patients with acute ST segment elevation myocardial infarction and its association with other clinical parameters.ResultsThe mean age of the patients was 50.55 ± 6.72 years at the time of MI. There were 147 (82.1%) males and 32 (17.9%) females. There were 83 (46.4%) patients having hypertension, 61 (34.1%) diabetes mellitus, 75 (41.9%) smokers, 75 (41.9%) patients having positive family history, 11 (6.1%) having dyslipidemia, and 73 (40.8%) obese patients in this study. The Frequency of complete atrioventricular (AV) block in acute ST segment elevation myocardial infarction was found to be 7.3%, and no association with any other clinical factor was found which could predict this condition according to results of our study. Therefore, protocols should be designed in our routine clinical practice to deal with such a life threatening condition.

Risk Assessment of Patients After ST-Segment Elevation Myocardial Infarction by Killip Classification: An Institutional Experience

“…The above-cited studies emphasize the continuous use of Killip class in a resource-depleted setting like ours and still find its utility in risk stratification of patients with left ventricular failure (LVF) secondary to MI. MI is associated with high mortality and multiple complications in our population [ 8 , 9 ]. As no advanced facilities (emergency angioplasty and emergency bypass surgery) are available in most tertiary care hospitals, mortality may be different in each class.…”

Risk Assessment of Patients After ST-Segment Elevation Myocardial Infarction by Killip Classification: An Institutional Experience

“…Above cited studies emphasize the continuous use of Killip class in resource depleted setting like ours and still nd its utility in risk strati cation of patients with LVF secondary to MI. MI is associated with high mortality and multiple complications in our population [8,9]. As no such facilities (emergency angioplasty and emergency bypass surgery) are available in tertiary care hospitals, so mortality may be different in each class.…”

The frequency of radial artery occlusion following cardiac catheterization with the use of transradial pneumatic compression band

“…Although it is more practical than the femoral approach; it is associated with a higher rate (5-10%) of asymptomatic radial artery occlusion [6]. In third world countries like Pakistan, complication rates of cardiovascular diseases are quite high [7][8][9][10] and there is need to utilize effective techniques that can reduce complication rates.…”