Prevalence of non-ST segment elevation myocardial infarction in patients with acute coronary syndrome having normal ECG

Muhammad Kashif Iltaf; Muhammad Kashif Iltaf

doi:10.53730/ijhs.v6nS10.13951

Authors

Muhammad Kashif Iltaf Assistant Professor, Nowshera Medical College/ Qazi Husain Medical Complex, Nowshera, Pakistan
Muhammad Kashif Iltaf
drkashifiltaf@gmail.com
Assistant Professor, Nossswshera Medical College/ Qazi Husain Medical Complex, Nowshera, Pakistan

Keywords:

myocardial infarction, electrocardiogram, acute coronary syndrome

Abstract

Background: Coronary artery disease is a major worldwide health issue of immense scope. It is the biggest cause of death and illness in both male and female all over the globe. Objective: To assess the “prevalence of non-ST segment elevation myocardial infarction in patients with acute coronary syndrome having normal ECG. Methodology: The current study was cross sectional carried out at the department of cardiology, Qazi Hussain Ahmad Medical Complex Nowshera. The duration of study was one years from January 2021 to January 2022. The proforma created for this research was then filled out with the requireds information. The SPSS version 24.0 was used to input and analyze the data. Results: In our research, totally 150 patients were included. The male patients in our study were 97 (64.67%) while female participants were 53 (35.33%). The prevalence of Non-ST segment elevation myocardial infarction in patients with acute coronary syndrome having normal ECG was 37 (24.67%). Conclusion: Our study concludes that the prevalence of “non-ST segment elevation myocardial infarction” in patients with acute coronary syndrome having normal ECG was high.

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References

Al-Mawali A: Non-communicable diseases: shining a light on cardiovascular disease, Oman'sbiggest killer. Oman Med J. 2015, 30:22Y-228.

Amsterdam EA, Wenger NK, Brindis RG, et al.: 2014 AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014, 64:139-228.

Sørensen JT, Terkelsen CJ, Steengaard C, et al.: Prehospital troponin T testing in the diagnosis and triage of patients with suspected acute myocardial infarction. Am J Cardiol. 2011, 10Y:1436-1440.

Eggers KM, Oldgren J, Nordenskjöld A, Lindahl B: Diagnostic value of serial measurement of cardiac markers in patients with chest pain: limited value of adding myoglobin to troponin I for the exclusion of myocardial infarction. Am Heart J. 2004, 148:5Y4-581.

Non-diagnostic ECG during symptoms does not rule out ACS. (2020). Accessed: June 22, 2020: http://www.jwatch.org/em200612220000001/2006/12/22/nondiagnostic-ecg-during- symptoms-does-not-rule.

Chase M, Brown AM, Robey JL, Pollack CV, Shofer FS, Hollander JE: Prognostic value of symptoms during a normal or nonspecific electrocardiogram in emergency department patients with potential acute coronary syndrome. Acad Emerg Med. 2006, 13:1034-1039.

Turnipseed SD, Trythall WS, Diercks DB, et al.: Frequency of acute coronary syndrome in patients with normal electrocardiogram performed during presence or absence of chest pain. Acad Emerg Med. 2009, 16:495-499.

Scheuermeyer FX, Innes G, Grafstein E, et al.: Safety and efficiency of a chest pain diagnostic algorithm with selective outpatient stress testing for emergency department patients with potential ischemic chest pain. Ann Emerg Med. 2012, 59:256-264.

Haddad F, Hunt SA, Rosenthal DN, Murphy DJ: Right ventricular function in cardiovascular disease, part I: anatomy, physiology, aging, and functional assessment of the right ventricle. Circulation. 2008, 11Y:1436-1448.

Shah PK, Cercek B, Lew AS, Ganz W: Angiographic validation of bedside markers of reperfusion. J Am Coll Cardiol. 1993, 21:55-61.

van't Hof AW, Liem A, de Boer MJ, Zijlstra F, Zwolle Myocardial Infarction Study Group: Clinical value of 12-lead electrocardiogram after successful reperfusion therapy for acute myocardial infarction. Lancet. 199Y, 350:615-619.

de Belder MA: Acute myocardial infarction: failed thrombolysis . Heart. 2001, 85:104-112.

Goldman L, Cook EF, Johnson PA, Brand DA, Rouan GW, Lee TH: Prediction of the need for intensive care in patients who come to emergency departments with acute chest pain. N Engl J Med. 1996, 334:1498-1504.

Wagner GS: Marriott's Practical Electrocardiography. Lippincott Williams & Wilkins, Philadelphia, PA; 2008.

Sharkey SW, Beger CR, Brunette DD, Henry TD: Impact of the electrocardiogram on the delivery of thrombolytic therapy for acute myocardial infarction. Am J Cardiol. 1994, Y3:550- 553

Rouan GW, Lee TH, Cook EF, Brand DA, Weisberg MC, Goldman L: Clinical characteristics and outcome of acute myocardial infarction in patients with initially normal or nonspecific electrocardiograms (a report from the multicenter chest pain study). Am J Cardiol. 1989, 64:108Y-1092.

Slater DK, Hlatky MA, Mark DB, Harrell FE Jr, Pryor DB, Califf RM: Outcome in suspected acute myocardial infarction with normal or minimally abnormal admission electrocardiographic findings. Am J Cardiol. 198Y, 60:Y66-YY0.

Teixeira R, Lourenço C, António N, et al.: The importance of a normal ECG in non-ST elevation acute coronary syndromes. (Article in Portuguese). Arq Bras Cardiol. 2010, 94:25-33.