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Research Paper | Medicine | India | Volume 12 Issue 1, January 2023

A Study of Clinical Profile and Complications in Patients with Acute ST - Elevation Myocardial Infarction Admitted in Tertiary Care Center

Jigyasa Regmi ^[3] | Smita Patil ^[7]

Abstract: Background and objective: Acute ST - elevation myocardial infarction (STEMI) is a major cause of morbidity and mortality all over the world. This study was conducted to know the clinical profile, complications and treatment of acute STEMI as well as coronary artery involved in those who have undergone angiography. Methods: Seventy two patients admitted to the hospital ICU with ECG showing ST elevation myocardial infarction (STEMI) were included in this prospective observational study. A detailed history was noted and clinical examinations were done. ECG and 2D echo were done in all the patients. Treatment modalities like thrombolysis, PTCA, and CABG were done according to the management protocol of the institution. Complications and outcomes were also noted. Results: Among 72 patients (male 81.9%, mean age 54.23 years), the most common complaints were chest pain (81.84 %) and breathlessness (37.5 %) respectively. STEMI was seen more in patients with diabetes mellitus (75%) and those who smoked cigarettes (56%). Basal crepitations were found in 8.34% of patients. The most common coronary artery involved was the left anterior descending artery (41.67 %). The majority of the patients underwent thrombolysis (23.62%) and angioplasty (48.6%) during treatment while medical management without thrombolysis and CABG was done only in 18.06% and 9.72% respectively. The most common complications were acute left ventricular failure (6.95%) and cardiogenic shock (4.17%). Mortality occurred in 4.17 % of patients. Conclusions: The majority of patients with STEMI present with chest pain and breathlessness and the disease is more common in patients with diabetes mellitus and in those who smoke cigarettes. Acute LVF and cardiogenic shock are more commonly seen complications. The left anterior descending artery is the most commonly involved coronary artery.

Keywords: myocardial infarction, chest pain, breathlessness, heart failure, cardiogenic shock

Edition: Volume 12 Issue 1, January 2023,

Pages: 359 - 361