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- W2883761021 abstract "INTRODUCTION:Coronary artery diseases are the main cause of mortality in developed world even with effective available treatment. The incidence of, morbidity and mortality are higher among Indians than other ethnic groups. The increased mortality in myocardial infarction is due to development of arrhythmias. Cardiac rhythm disturbances occur in most of the patients during acute myocardial infarction, and approximately twenty-five percent have cardiacconduction disturbance within 24 hours following infarct onset.Almost any rhythm disturbance can be associated with acute myocardial infarction, including bradyarrhythmias, supraventricular tachyarrhythmias, ventricular arrhythmias, and atrio ventricular block. With the advent of thrombolytic therapy, coronary reperfusion also produce some rhythm disturbances in patients with acute myocardial infarction.The purpose of this study is to evaluate the incidence and profile of cardiac arrhythmias in relation to age, sex, location of infarction in acute myocardial infarction most of the arrhythmias occur in the first 48 hours of hospitalization.AIMS AND OBJECTIVES:The aim of the present study is to study the clinical profile of arrhythmias in acute myocardial infarction during the first week of admission.MATERIALS AND METHODOLOGY:The study is conducted in Government Rajaji Hospital Madurai from July 2014 to October 2014. A total of 100 patients admitted to the ICCU are selected to enter the study. This is a descriptive study.Study Population:A total of 100 patients are recruited on admission to the intensive coronary care unit at Government Rajaji Hospital. They included 74 males and 26 females. Patients with confirmed diagnosis of acute myocardial infarction and satisfying the inclusion and exclusion criteria are included in the study group.Inclusion Criteria:1. Patient in hyper-acute to acute phase of myocardial infarction and developed arrhythmia within first week of AMI based on third universal defenition of myocardial infarction.2. Age above 19 years.Exclusion Criteria:1. The patients admitted with previous history of myocardial infarction.2. A known case of valvular heart diseases.3. A known case of thyroid disorders.4. Patients with unknown and undefined arrhythmias of known premorbid condition.CONCLUSION:In this study 70% of the patients had arrhythmia. Sinus bradycardia was the commonest arrhythmia. Ventricular premature contraction was a second most common arrhythmia. However ventricular premature contractions also occurred along with other arrhythmias like first degree heart block, sinus bradycardia, sinus tachycardia, right bundle branch block and ventricular tachycardia.Arrhythmias were more common among elderly male .Arrhythmia commonly occur during the first hour of hospitalization." @default.
- W2883761021 created "2018-08-03" @default.
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- W2883761021 date "2015-04-01" @default.
- W2883761021 modified "2023-09-27" @default.
- W2883761021 title "A Prospective Clinical Study of Arrhythmias in Acute Myocardial Infarction" @default.
- W2883761021 hasPublicationYear "2015" @default.
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