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Journal of Cardiovascular Disease Research

2021, Vol: 8, Issue: 8
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    STUDY OF ECHOCARDIOGRAPHY FINDINGS IN PATIENTS OF ACUTE MYOCARDIAL INFARCTION AT A TERTIARY HOSPITAL


    Rahul Ramrao Choudhari
    JCDR. 2024: 1245-1251

    Abstract

    Background: Echocardiography is a non-invasive diagnostic technique which provides information regarding cardiac function and hemodynamics. Present study was aimed to study echocardiography findings in patients of acute myocardial infarction at a tertiary hospital. Material and Methods: Present study was single-center, prospective, observational study, conducted in patients of Acute myocardial infarction (on the basis of the clinical symptoms, 12 lead ECG and the laboratory findings), Acute ST elevation myocardial infarction OR Acute Non ST elevation myocardial infarction. We carried out the transthoracic echocardiography in all patients. Results: In our study 76(70.4%) were male patient and 32(29.6%) were female patient. Minimum age of patient was 24, maximum age was 85 years, mean age of patient was 56.87 ±13.81 years. All of our patients had angina on presentation. Common risk factors observed were smoking (44.4%), diabetes (37%), sedentary lifestyle (31.5%), hypertension (24.1%) & dyslipidemia (7.4%). In our study of 108 patients majority had anterior wall myocardial infarction (AWMI) (30.6%) & inferior wall myocardial infarction (IWMI) (30.6%) followed by anterior wall-non ST elevation myocardial infarction (AWMI-NSTEMI) (22.2%). In our study 88 patients (81.5%) were having troponin T positive & 94 patients (87%) had CPK-MB levels ≥26. In our study, 80 patients (74.07%) had ST elevation myocardial infarction and 28 patients (25.93%) had non ST elevation myocardial infarction. Echocardiography showed regional wall motion abnormalities (RWMA) in 102 patients (94.4%) and did not show any regional wall motion abnormalities (RWMA) in 6 patients (5.6%). Majority had RWMA in RCA territory (36.1%) followed by RWMA in LAD territory (34.3%), RWMA in LAD and LCx territory (14.8 %), RWMA in LAD and RCA territory (5.6%) & RWMA in RCA and LCx territory (3.7%). Conclusion: 2D Echocardiography has a very high sensitivity in detecting myocardial ischemia in the form of regional wall motion abnormalities (RWMA).

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