Key result
Conduction blocks in patients with inferior wall myocardial infarction were associated with significantly higher mortality compared to patients without conduction blocks (12.0% vs 3.4%; p<0.03).
Why the study?
Does thrombolytic therapy reduce mortality and complications in Indian patients with acute inferior wall myocardial infarction?
Population
573 Indian patients with acute inferior wall myocardial infarction (IWMI), mean age 58.90 years, 81.2% male.
Comparison
Thrombolytic therapy vs No thrombolytic therapy
Design
Cohort
Follow-up
in-hospital / short-term
Authors
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May identify higher-risk inferior MI patients; leaves open whether targeted interventions improve outcomes.
Observational (n=573)
No
Does thrombolytic therapy reduce mortality and complications in Indian patients with acute inferior wall myocardial infarction?
Absolute Event Rate: 12% vs 3.4%
p-value: p=<0.03
In Indian patients with acute inferior wall myocardial infarction, conduction blocks and RV infarction are common and associated with higher mortality, while thrombolytic therapy significantly reduces mortality and complications.
Varun Kumar (2017) conducted an observational in Inferior wall myocardial infarction (IWMI) (n=573). Conduction blocks, right ventricular infarction, and thrombolytic therapy vs. Absence of these factors was evaluated on Mortality in patients with versus without conduction blocks (p=<0.03). Conduction blocks in patients with inferior wall myocardial infarction were associated with significantly higher mortality compared to patients without conduction blocks (12.0% vs 3.4%; p<0.03).
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