Prediction of reciprocal ST segment changes in determining the extent of coronary artery disease in ST segment elevation myocardial infarction: An angiographic correlation
Journal Title: International Archives of Integrated Medicine - Year 2018, Vol 5, Issue 7
Abstract
Background: In patient with history suggestive of myocardial infarction, ST segment elevation in ECG is supportive of MI. Mechanism of reciprocal changes is still a debate. The reason for ST segment depression has been extensively investigated, with conflicting results. Possible hypothesis for the mechanism of reciprocal changes are concomitant stenosis of other vessels or merely a benign electrical activity. Objectives: To identify reciprocal ST Segment depression in ST segment elevation acute myocardial infarction and predict the extent of coronary artery disease by correlating with coronary angiography, to assess left ventricular dysfunction in patient with and without reciprocal ST Segment changes. Materials and methods: The study was conducted over 18 months among 80 patients who were admitted to FMMCH with STEMI. They were analyzed in two groups with 40 patients with anterior wall MI and 40 patients with Inferior wall MI with reciprocal changes and those without reciprocal changes. Results: Among the 80 patients, 57% belonged to age 45-65 years, with male was to female ratio was 4:1. Reciprocal changes seen in multi vessel disease were statistically significant (p value 0.000). Cases with reciprocal changes 42.5% had severe LV dysfunction (p value 0.03) which was statistically significant. Reciprocal changes seen in multi vessel disease were statistically significant (p value 0.0). Conclusion: This study showed statistical significant positive correlation between reciprocal ST segment changes, multi vessel coronary artery disease and severity of left ventricular dysfunction. Emphasizing the need for urgent evaluation and treatment patients with reciprocal ST segment changes among the patient with ST elevation myocardial infarction.
Authors and Affiliations
Sayyid Mohammed Khilar, Dr. Nima, Neha Khilar
Keywords
Related Articles
- EP ID EP415043
- DOI -
- Views 112
- Downloads 0
Comparative study of sympathetic function changes in normal and moderately hypertensive patients
Introduction: Hypertension is one of the leading disorders contributing to significant morbidity and mortality in the world today. Today’s stressful life and modern life styles including the food habits have increased th...
The Role of Radiology in Diagnosis and Management of Scaphoid Fracture
Background: This study focused on introducing MRI into the diagnostic pathway for suspected scaphoid fracture management. In discussion with our musculoskeletal radiologists, we implemented new guidelines to standardize...
Correlating multi-detected computed tomography findings with conventional radiography, operative and histopathological examination in mandibular swellings
Introduction: Mandibular swelling are common entity in dental and general surgery practice requiring prompt intervention, imaging techniques such as plain radiography and especially multi-detector computed tomography (MD...
Graphene Oxide Nano Sheets Increase Brain Damage and Alter Dopamine, Norepinephrine and 5-Hydroxytryptamine Levels in Brain of Albino Mice
Background: Hazards of graphene particles, as novel application in biomedicine and industry of electronics, have attracted extensive attention. Large number of toxicological studies have evaluated the interactions of gr...
Fetal kidney length as a parameter for gestational age determination and its comparative evaluation with other fetal biometric indices
Background: An accurate estimation of foetal gestation age is of utmost clinical significance owing to its vast clinical implications principally in management of high risk pregnancies. Aim: To determine correlation and...