FREQUENCY AND COMPLICATIONS OF ISCHEMIC MITRAL REGURGITATION IN PATIENTS WITH ACUTE CORONARY SYNDROME
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Published:
Aug 10, 2017
Keywords:
Acute coronary syndrome, Echocardiography, Mitral regurgitation
Main Article Content
Abstract
Objective: To determine the frequency of ischemic mitral regurgitation, determine
severity and defining its complications among patients with acute myocardial
infarction (MI).
Methodology: This study was conducted at Hayatabad Medical complex. Our
study was descriptive cross sectional study in which 262 patients with acute MI
were studied using non-probability consecutive sampling technique. Complications
were followed for 6 Months & recorded on a pre-designed proforma.
Results: In this study mean age was 60 ±1.26 years. One hundred and ten (42%)
patients were male while 152(58%) patients were female. One hundred thirty
six patients (52%) patients were ST elevation MI (STEMI) and 126(48%) patients
were non-ST elevation MI (NSTEMI). Mitral regurgitation was found in 141(54%)
patients in whom 104(74%) patients were found to have mild mitral regurgitation,
29(20%) patients were found to have moderate mitral regurgitation and
8(6%) patients were having severe mitral regurgitation. Moreover 25(18%) patients
had new onset atrial fibrillation, 24(17%) patients had in-hospital mortality
and 15(11%) patients were re-admission with heart failure.
Conclusion: Following myocardial infarction, baseline mitral regurgitant severity
is associated with deterioration of LV function & increased mortality. The
presence of mitral regurgitation confers poor prognosis in patients with acute
coronary syndrome.
severity and defining its complications among patients with acute myocardial
infarction (MI).
Methodology: This study was conducted at Hayatabad Medical complex. Our
study was descriptive cross sectional study in which 262 patients with acute MI
were studied using non-probability consecutive sampling technique. Complications
were followed for 6 Months & recorded on a pre-designed proforma.
Results: In this study mean age was 60 ±1.26 years. One hundred and ten (42%)
patients were male while 152(58%) patients were female. One hundred thirty
six patients (52%) patients were ST elevation MI (STEMI) and 126(48%) patients
were non-ST elevation MI (NSTEMI). Mitral regurgitation was found in 141(54%)
patients in whom 104(74%) patients were found to have mild mitral regurgitation,
29(20%) patients were found to have moderate mitral regurgitation and
8(6%) patients were having severe mitral regurgitation. Moreover 25(18%) patients
had new onset atrial fibrillation, 24(17%) patients had in-hospital mortality
and 15(11%) patients were re-admission with heart failure.
Conclusion: Following myocardial infarction, baseline mitral regurgitant severity
is associated with deterioration of LV function & increased mortality. The
presence of mitral regurgitation confers poor prognosis in patients with acute
coronary syndrome.
Article Details
How to Cite
1.
ullah A, ur rehman J, Khan A. FREQUENCY AND COMPLICATIONS OF ISCHEMIC MITRAL REGURGITATION IN PATIENTS WITH ACUTE CORONARY SYNDROME. J Postgrad Med Inst [Internet]. 2017 Aug. 10 [cited 2024 Nov. 24];31(3). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/2059
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