In-Hospital Outcomes of Acute Inferior Myocardial Infarction Associated with Complete Heart Block: A Coronary Care Unit Experience
DOI:
https://doi.org/10.31344/ijhhs.v5i1.236Keywords:
Myocardial infarction, complete heart block, temporary pacemaker, inhospital outcomesAbstract
Background: Complete heart block (CHB) is a common complication in patients of acute inferior myocardial infarction (MI). Their in-hospital outcomes depend on the time of onset of the sequelae,pattern of newer area of infarction and concomitant complications.
Objective: To see in-hospital outcomes of the patients with acute inferior myocardial infarction complicated by complete heart block.
Methods: This prospective observational study was conducted in the Coronary Care Unit (CCU) under Department of Cardiology, Sher-E-Bangla Medical College Hospital, Barisal, Bangladesh, between November 2014 and May 2015.A total of 100 patients (77 males and 23 females) were selected based on specific inclusion and exclusion criteria by using convenient sampling technique. All studyparticipants were evaluated by detailed history, clinical examination and relevant investigations.Response to different treatment modalities and their complications were recorded. Recovery of CHB was also monitored.
Results: Mean age of the patients was 57.16±10.24 years.Early presentation (within 24 hours) of CHB had only 4.17% mortality. However, mortality increased in patients as CHB developed after 24 hours (26%). Overall, 10% mortality was evident despite advanced cardiac support.Complications reported in optimum medical treatment included hypotension (17 patients), bleeding (1 patient) and arrythmia (1 patient). 11% of the patients received temporary pacemaker by femoral vein approach.However, only 1 patient had hematoma, 1 had A-V fistula and 1developed vesovagal shock during puncture of the femoral vein. Duration of hospital stay was more forthe patients who were refractory to conservative medical treatment and received temporary pacemaker; however, the difference was not statistically significant (5.06±0.71vs.8.07±1.01; P>0.05).
Conclusion:Complete heart block associated with acute inferior MI is very much responsive to optimum medical treatment and an early presentation of complete heart blockallows an early intervention, better prognosis and recovery.
International Journal of Human and Health Sciences Vol. 05 No. 01 January’21 Page: 69-73
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Ahmed Imran Kabir, Mohammad Ashraful Alam, Mohammed Mirazur Rahman, Manzurul Ibrahim Musa
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in the International Journal of Human and Health Sciences agree to the following terms that:
- Authors retain copyright and grant International Journal of Human and Health Sciences the right of first publication of the work.
Articles in International Journal of Human and Health Sciences are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.- Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.
