Frequency of acute heart failure in patients undergoing thrombolysis for anterior wall myocardial infarction.

Abstract

Objective: To determine frequency of acute heart failure in patient undergoing thrombolysis for anterior wall MT. Study Design: Cross-sectional study. Setting: Faisalabad Institute of Cardiology, Faisalabad. Period: July 2017 to December 2019. Material & Methods: After approval from hospital Ethical committee of Faisalabad institute of cardiology. Results: 150 patients with acute anterior wall myocardial infarction were recruited from the emergency department of Faisalabad institute of cardiology. They were thrombolysed as per local protocol i.e 1.5 million units of Streptokinase intravenous with proper monitoring. Then patients were evaluated for sign and symptoms of heart failure (as per operational definition) within 3 days of admission. In our study, out of 150 cases, 51.33% (n=77) were between 25-50 years of the age whereas 48.67% (n=73) were between 51-70 years of age, mean+sd was calculated as 50.09±9.14 years, 46% (n=69) were male whereas 54% (n=81) were females. Frequency of acute heart failure in patients undergoing thrombolysis for acute anterior wall myocardial infarction was recorded in 16% (n=24). Conclusion: We concluded that the frequency of acute heart failure is higher in patients undergoing thrombolysis for acute anterior wall myocardial infarction and needs to draw attention, however, some other trials are required to validate our results.