Effect of early thrombolysis on the clinical outcome of ventricular septal rupture in patients with myocardial infarction

Abstract

Background: Ventricular septal rupture is one of the most lethal complications of myocardial ischemia with timely treatment preventing the catastrophic results for the patients.1 Objective: To determine whether early thrombolysis’ in patients with VSR increases or decreases mortality and to assess the risk factors for development of VSR in patients with ST elevation MI. Materials and Methods: This cross-sectional study was done at Peshawar Institute of Cardiology after the approval of synopsis from ethical research committee of the institution bearing IRC/23/54 dated 28 September 2023. The sample size was 34 and method was non-probability convenient. The inclusion criteria were all those patients who had acute myocardial infarction and detectable VSR on ECHO. Data collection will be started after IRB approval. All patients admitted via ER to CCUs and diagnosed as cases of VSR through clinical exam and ECHO findings. Descriptive analysis was employed to find out the mean age and Chi Square test and Pearson Correlation was employed to compare the outcomes of the patients after receiving thrombolysis with a p value of less than 0.05 as significant.