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Research Paper | Cardiology Science | India | Volume 12 Issue 7, July 2023 | Rating: 5.2 / 10
Comparative Analysis of Early and Late Angiography Post - Fibrinolysis in ST - Segment Elevation Myocardial Infarction Patients
Dr. Sricharan Theja Nalisetty | Dr. Kannan Radhakrishnan | Dr. Raghothaman Sethumadhavan | Dr. Suresh Kumar Ponnusamy | Dr. Velmariappan Esakkimuthu
Abstract: Aims and objectives: To compare the major cardiovascular events (MACE) and other cardiac side effects during in hospital care and to compare clinical outcome profile. To study and compare the complications and functional improvement of heart. Methods: Data collected retrospectively from department records. This study included all patients presented with ST elevation Myocardial infarction who were successfully fibrinolysed. Patients with failed fibrinolysis, unstable angina and elective procedure patients were excluded. They were grouped into early angiography (n=49) and late angiography (n=64) based on time duration after fibrinolysis. Retrospective data analysis done by comparing objectives of the study between both the groups. Results: The mean age of population was 55?8.68. The baseline characteristics like demographics and comorbidities were comparable between both the groups. Physiological status, mechanical and electrical complications of acute myocardial infarction (AMI) at presentation were not significantly different. Laboratory parameters also comparable. Re - infarction occurred in 1 (2%) patient in group A and 2 (3%) patients in group B with P value 0.58. Death occurred in 1 (1.5%) patient in group B and none in group A with p value 0.61. Recurrent MI, readmission and cardiac function status at 30 days period was also statistically insignificant between two groups. Conclusions: In patients presented with STEMI after successful fibrinolysis, both early angiography (with in 24hours) and late angiography has similar incidence of MACE. Improvement in cardiac function and complications during hospitalisation are comparable between late and early angiography following successful lysis.
Keywords: Acute myocardial infarction, Early coronary angiography, Fibrinolysis, Late coronary angiography, ST elevation myocardial infarction
Edition: Volume 12 Issue 7, July 2023,
Pages: 2035 - 2040