Why the study?
The study was conducted to examine the incidence, types, risk factors, and prognostic value of arrhythmias during the first week of acute myocardial infarction in a patient population from western India.
Ventricular premature contractions are the most common arrhythmia in the first week of acute myocardial infarction, predominantly affecting older males.
BACKGROUND: Incidence of Arrhythmia in first week of Acute myocardial infarction. AIM To study the incidence of arrhythmias in the first week of Acute Myocardial Infarction (AMI) with respect to type of arrhythmia, age distribution, sex and location of infarction, various risk factors in a patient population from western India and to evaluate its prognostic value and relation of complications with incidence of arrhythmias. METHOD : Hundred cases of AMI with arrhythmia admitted in ICCU of G K GENERAL HOSPITAL – GAIMS , BHUJ were taken in the study. RESULT: • Among 100 cases, maximum incidence (40%) was found in 6th decade. Incidence of a rrhythmias was higher in males (81%) than females (19%). Anterior wall infarcts (61%) were more common than inferior wall (36%). Ventricular Premature Contraction (VPC) was the commonest arrhythmia is anterior wall MI (45.9%) and in inferior wall MI (19.4%). CONCLUSION : • Hence, in one of the largest study of this kind in a patient population of Western India, we established VPC’s as the most common arrhythmia in AMI patients. Older patients (sixth decade) and males are affected more commonly. Ventricular tachycardia is more fatal in acute inferior wall MI.
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Patel et al. (2020) studied this question.
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