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se of ECG for diagnosis of Myocardial Infarctio

Not Applicable
Conditions
Health Condition 1: I219- Acute myocardial infarction, unspecifiedHealth Condition 2: I210- ST elevation (STEMI) myocardial infarction of anterior wall
Registration Number
CTRI/2021/01/030287
Lead Sponsor
KMC MANIPA
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1) Newly diagnosed patients

2) Chest pain lasting more than 30 min or patients having symptoms of

angina equivalents

3) ECG showing ST elevation >1 mm in at least two contiguous leads in

limb leads and >2 mm in chest leads i.e STEMI

4) Patients with confirmed enzymatic changes

5) Patients suitable for angiography having no contraindications to the

administration of iodinated contrast.

Exclusion Criteria

1) Those with history of MI defined by established pathological Qwaves

2) Patients with signs of reperfusion by negative or biphasic Twaves will

be excluded

3) Previous angioplasty of coronary vessels

4) Prior coronary artery bypass graft surgery

5) Presence of right or left bundle branch block

6) Left ventricular hypertrophy, Cardiomyopathy.

7) Patients with severe valvular heart disease other than ischemic mitral

regurgitation and congenital cardiac anomaly

8) Patients with implanted pacemakers or valve prostheses

9) Patients with history of intake of drugs causing CB such as clonidine,

methyldopa, verapamil, and digoxin.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1) Localization of culprit coronary vessels and occlusion site involved in <br/ ><br>acute coronary syndrome STelevation myocardial infarction (STEMI) by <br/ ><br>combining various ECG criteria. <br/ ><br>2) To assess the diagnostic accuracy of ECGs as compared to coronary <br/ ><br>angiographic findings in localizing culprit vessel <br/ ><br>Timepoint: Within 6 hours of arrival of patient and within 6 hours of angiography <br/ ><br>
Secondary Outcome Measures
NameTimeMethod
Ease in diagnosis of MI by usage of single cost-effective tool.Timepoint: within 24 hours of receiving the patient
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