Volume : V, Issue : XII, December - 2015

EVALUATION OF ASSOCIATED RISK FACTORS IN PATIENTS WITH FAILED THROMBOLYSIS DETERMINED BY BEDSIDE NON–INVASIVE FINDINGS AND THEIR COMPARISON – AN OBSERVATIONAL STUDY

Dr. Devasena Srinivasan, Dr. Dilip Khadar, Dr. S. Manjunath, Dr. S. Kavita, Dr. Swathy Moorthy

Abstract :

Acute coronary syndrome is divided into ST Segment Elevation Myocardial Infarction(STEMI), Non ST Segment Elevation Myocardial Infarction(NSTEMI) and Unstable Angina. In our setting fiinolysis still remains the most preferred approach to STEMI. An ICU study to determine whether fibinolytic therapy performed in patients with STEMI was successful or unsuccessful by using non–invasive bedside findings, and if it was a failed thrombolysis, to compare the associated risk factors seen in these patients with failed thrombolysis at our centre with cases at other worldwide centers. 94 patients were studied over a span of one and a half years, and included male and female patients of all age groups. 37 patients had a failed lysis and 57 had a successful lysis. All the patients received a loading dose of thrombolysins. Patients presenting with Acute MI at an early window period, Killip Class I or a low Trop T of <0.03ng/dl did not reduce the risk of a failed thrombolysis. Majority of the patients in the Failed thrombolysis group did not have a family history or past history of CAD. Failed thrombolysis was more in the 40–60 yrs age group. More Silent MIs were seen in Failed thrombolysis group. Failed thrombolysis group had more complications.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.Devasena Srinivasan, Dr.Dilip Khadar, Dr.S.Manjunath, Dr.S.Kavita, Dr.Swathy Moorthy Evaluation of Associated Risk Factors in Patients with Failed Thrombolysis Determined by Bedside Non-Invasive Findings and Their Comparison‾an Observational Study Indian Journal of Applied Research, Vol.5, Issue : 12 December 2015

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