STUDY OF ST SEGMENT RESOLUTION AFTER THROMBOLYSIS IN ACUTE MYOCARDIAL INFARCTION AS A PREDICTOR OF OUTCOME

Dr. D. Anbarasu, Dr. Meyyammai C T

Abstract


BACKGROUND

 ST  segment  elevation  resolution  following  thrombolysis  is  simple,  non-invasive , accessible  tool  for  the  assessment  of  coronary  reperfusion.  This  study was  to  assess  the resolution  of  ST  segment  elevation  90  min  following  thrombolysis   in  acute  myocardial  infarction  as  a  predictor  of  short  term  outcome.

 

METHODS

Sixty  patients  with  first  attack of  acute  ST  segment  elevation  myocardial

infarction  admitted   in  ICCU   of   meenakshi  medical  college  hospital  and  research institute.  

 

RESULTS

 60  patients,  9  patients  (15%)  had   < 30%   ST  resolution  (no  STR),

26   (43.3%)  had  30-70%  ST  resolution  (partial  STR), 25  (41.7%)  had

> 70%  ST  resolution  (complete  STR)

 

CONCLUSION

Patients  with  no  resolution  of  ST  segment 90  minutes  following  thrombolysis

associated  with  more  adverse  events  and   mortality  compare  to

partial  and  complete  resolution  group.

 


Keywords


Acute myocardial infarction; ST segment resolution; Thrombolysis

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References


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