A COMPARATIVE ANALYSIS OF FREQUENCY OF IN-HOSPITAL ARRHYTHMIAS IN PATIENTS WITH SUCCESSFUL VERSUS FAILED THROMBOLYSIS FOLLOWING ACUTE MYOCARDIAL INFARCTION

Authors

  • Sher Bahadar Khan
  • Rafi ullah
  • Abdul Hadi
  • Syed Tahir Shah
  • Samiullah Khan
  • Ikram ullah
  • Muhammad Abdur Rauf
  • Hafiz ur Rehman
  • Adnan Mehmood Gul
  • Mohammad Hafizullah

DOI:

https://doi.org/10.47144/phj.v44i3-4.18

Keywords:

Myocardial infarction, thrombolysis, arrhythmias

Abstract

ABSTRACT

Objective: To compare frequency of in-hospital arrhythmias in patients withsuccessful and failed thrombolysis using streptokinase in patients presentingwith acute myocardial infarction (AMI).

Methodology: This was a comparative study conducted at department ofCardiology, Lady Reading Hospital,Peshawar from October 2006 to October2007 .Two hundred patients with first AMI were divided into two groups: group A(successful thrombolysis) and group B (failed thrombolysis) using ECG criteria.

Results: A total of 200 patients were studied. Group A included 136 (68%)patients while group B included 64 (32%) patients. Among these 24 (12.0 %)patients developed arrhythmias. Of these 8 patients were in group A and 16patients were in group B (5.9% vs. 25.0%, p=0.003).Ventricular tachycardiawas the most common arrhythmia. It was documented in 9 (4.5%) patients, with2 patients in group A and 7 patients in group B (1.5% vs. 10.9%, p=0.003). Theother arrhythmias which included atrial fibrillation, ventricular fibrillation andsupraventricular tachycardia were statistically insignificant between the twogroups (p=0.174). In hospital mortality was more common in patients withfailed thrombolysis [6 (9.4%) vs. 3 (2.2%) (p=0.023)].

Conclusion: Failed thrombolysis is associated with complex arrhythmias andhigh in- hospital mortality.

Downloads

Download data is not yet available.

Downloads

How to Cite

1.
Khan SB, ullah R, Hadi A, Shah ST, Khan S, ullah I, Rauf MA, Rehman H ur, Gul AM, Hafizullah M. A COMPARATIVE ANALYSIS OF FREQUENCY OF IN-HOSPITAL ARRHYTHMIAS IN PATIENTS WITH SUCCESSFUL VERSUS FAILED THROMBOLYSIS FOLLOWING ACUTE MYOCARDIAL INFARCTION. Pak Heart J [Internet]. 2012Apr.25 [cited 2024Nov.24];44(3-4). Available from: https://pakheartjournal1.pcs.org.pk/index.php/pk/article/view/18

Issue

Vol. 44 No. 3-4 (2011): Pakistan Heart Journal

Section

Original Article

License

When an article is accepted for publication in the print format, the author will be required to transfer exclusive copyright to the PHJ and retain the rights to use and share their published article with others. However, re-submission of the full article or any part for publication by a third party would require prior permission of the PHJ.

Online publication will allow the author to retain the copyright and share the article under the agreement described in the licensing rights with creative commons, with appropriate attribution to PHJ. Creative Commons attribution license CC BY 4.0 is applied to articles published in PHJ https://creativecommons.org/licenses/by/4.0/