Incidences of STEMI equivalents among classical STEMI in emergency department of AVBRH

Not yet recruiting

Conditions: Subsequent ST elevation (STEMI) myocardial infarction of other sites,

Brief Summary: Acute myocardial infarction [AMI] is a leading causeof high morbidity and mortality, and hence early identification andintervention may result in improved outcome. Only a smallproportion result in diagnoses of ST elevation myocardial infarction (STEMI)out of 6.9 million chest pain patients. AMI represents only 0.26% and thisresults in total morbidity and mortality. Early cardiac repurfusionssignificantly reduces mortality and morbidity. STEMI is defined as a new â‰¥ 1 mmST-elevation at the J-point in two contiguous leads. For males under 40 lead v2-v3 >2.5mm ST elevation, for males 40 years >2mm ST elevation. For females>1.5mm with no age bar.

Someof the ECG morphologies dont meet the ST elevation criteria but suggest acutecoronary occlusion which will be benefitted with revascularization. Three suchpatterns have been increasingly identified, 1. De winter T wave, 2. Wellensyndrome, 3. AVR lead ST segment elevation.4. Posterior wall myocardialinfraction

Recruitment & Eligibility

Inclusion Criteria

80 yrs both sexes 2.ECG suspected of Acute coronary syndrome 3.ECG suspected of STEMI variant.

Exclusion Criteria

1.Previous Myocardial Infarction in last 3 months 2.Patient not willing to participate in study.

Primary Outcome Measures

Name	Time	Method
To estimate the incidences of STEMI equivalent in ACS patient	4 weeks

Secondary Outcome Measures

Name	Time	Method
1. to determine the prognostic significance of these findings	2. To estimate the potential for advance research

Locations (1): Acharya Vinoba Bhave rural hospital
🇮🇳
Wardha, MAHARASHTRA, India
Acharya Vinoba Bhave rural hospital
🇮🇳Wardha, MAHARASHTRA, India
Dr Utkarsh Gaur
Principal investigator
9871795421
utkarshgaur21@yahoo.com