Study of echocardiography and coronary angiography findings in acute ST elevation thrombolysed myocardial infarction patients

Dr. Padmaja A. Saraf; Dr. Anil Shrinivasaro Joshi; Dr. Vimlesh R. Pandey; Dr. Pooja Vinayakrao Kanhadkar

Volume : VII, Issue : IX, September - 2017

Study of echocardiography and coronary angiography findings in acute ST elevation thrombolysed myocardial infarction patients

Dr. Padmaja A. Saraf, Dr. Anil Shrinivasaro Joshi, Dr. Vimlesh R. Pandey, Dr. Pooja Vinayakrao Kanhadkar

Abstract :

Background:

Coronary heart disease (CHD) is a major cause of morbidity and mortality in India. Echocardiography is especially helpful in estimation of the myocardium at risk and final infarct size after reperfusion therapy; evaluation of patients with unstable hemodynamic findings and detecting mechanical complications; evaluation of myocardial viability; estimation of ejection fraction. Coronary angiography remains the standard for identifying the arterial narrowing’s related to atherosclerotic coronary artery disease (CAD) and provides the most reliable anatomic information. So we intended to correlate echocardiographic and coronary angiographic findings in the patients presenting to this institute.

Method:

It was an observational study done in tertiary care hospital at Aurangabad, Maharashtra, INDIA in 50 patients from November 2009 to October 2011onthose who were admitted in intensive care unit, for ST elevation myocardial infarction and were thrombolysed. Echocardiography was done by cardiologist after third day before discharge and coronary angiography was done by cardiologist within one month of the discharge from hospital.

Results:

Observations were made with respect to demographic finding, echocardiographic and coronary angiographic findings; data was compiled and analysed.

Conclusions:

1) Patients who had anterior or anterolateral infarctions, apical wall motion was significantly depressed and was more pronounced in patients with total occlusion of LAD. Similarly in inferior infarcts, infero–basal segments were significantly depressed.

2) Patients with normal coronary arteries or non significant obstructive lesions had higher EF than patients with obstructive lesions in One, Two or Three Vessels. The EF was significantly lower in the patients with Three vessel disease than in those with One vessel disease.

3) Patients with normal coronaries were younger (below 45years) than those with obstructive lesions.

4) RWMA along with reduced EF on echocardiography, LAD was affected in maximum number of patients who had single vessel disease

5) Echocardiography being a non invasive technique will help in deciding the further course of the patients of AMI, after discharge from the hospital. Those with RWMA and reduced EF have high chances of having multivessel disease.