Clinical Study of Complications of Acute Myocardial Infarction with in First Seven Days
Supriya Patil, Sunil Chavan, Lalit Patil
The study revealed male preponderance for AMI. Maximum number of patients was from age group 60 to 69yrs. Chest pain, perspiration and vomiting were major presenting symptoms. 58 patients had anterior wall myocardial infarction, 45 patients had inferior wall infarction. Only 2 patients had RV infarct. The most common complication was left ventricular failure. LVF was more common in elderly hypertensive patients who had some contraindication to thrombolytic therapy. Among mechanical complications 3 patients had MR due to papillary muscle dysfunction. One patient had free wall rupture of left ventricle. It was diagnosed on autopsy. The patient died within half hour of admission with diagnosis of anterior wall myocardial infarction. We reported ventricular fibrillation in 6 patients with 66.66% mortality. Those patients who received thrombolytic therapy had better outcome as compared to those who didnít receive thrombolytic therapy due to some contraindication. Bleeding and hypotension were the most common complications of thrombolytic therapy. Intracranial bleeding was associated with high mortality.
Supriya Patil, Sunil Chavan, Lalit Patil. Clinical Study of Complications of Acute Myocardial Infarction with in First Seven Days. International Journal of Multidisciplinary Research and Development, Volume 2, Issue 11, 2015, Pages 66-68