FREQUENCY OF COMPLICATIONS IN PATIENTS WITH ACUTE ST ELEVATION MYOCARDIAL INFARCTION WITH HIGH LEUCOCYTE COUNT
Keywords:
Heart, Failure, Acute, Mycardial Infarction, ventricular, fibrillationAbstract
Objective: To determine the frequency of in hospital complications in patients with acute ST Elevation Myocardial infarction with high leukocytes count.
Material and Methods: This study was conducted at Cardiology Department Hayatabad Medical Complex, PGMI, Peshawar. Duration of the study was six months (January 2012 to June 2012). This was a cross-sectional (descriptive study) in which the total sample size was 177, using 8% proportion of ventricular arrhythmias with acute STEMI, 9.95% confidence level and 4% margin of error, under WHO software for sample size determination.
Results: In this study mean age was 60 years with standard deviation ± 1.28. Seventy percent patients were male while 30% patients were female. Twenty percent patients had heart failure, 7% patients died, 10% patients had Ventricular tachycardia and 7% patients had ventricular fibrillation.
Conclusion: Conduction defects complicating acute myocardial infarction are common in this thrombolytic era in our population. Such patients should be closely observed and monitored as they have got higher rate of complications and mortality during hospital course. This study shows a small decline in frequency of conduction defects which reflects beneficial effect of thrombolytic therapy as compared with previous studies which were done in pre-thrombolytic era
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