ETIOLOGY, TREATMENT AND SHORT TERM OUTCOME OF VENTRICULAR ARRHYTHMIAS IN PATIENTS ADMITTED TO A TERTIARY CARE HOSPITAL
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Published:
Dec 9, 2017
Keywords:
Ventricular arrhythmias, Ischemic cardiomyopathy, Electrical cardioversion, Pharmacological cardioversion
Main Article Content
Abstract
Objective: To determine the frequency of various types of ventricular arrhythmias,
its causes, treatment, in-hospital course and short term outcome of ventricular
arrhythmias in patients admitted to a tertiary care hospital.
Methodology: This observational study was conducted in Cardiology Unit of
Lady Reading Hospital, Peshawar from Ist September 2014 to 31st March 2015.
All patients with ventricular arrhythmias admitted during study duration were
included after fulfilling the inclusion and exclusion criteria. Their baseline, clinical,
echocardiographic characteristics, treatment and hospital outcome were
recorded in a specially designed proforma. SPSS version 19 was used for statistical
analysis.
Results: A total of 127 patients were included in the study. Males were 93
(73.22%). Mean age was 43.42 ±10.7 years. Causes of ventricular arrhythmias
were acute coronary syndrome 51 (40.15%), ischemic cardiomyopathy
27 (21.25%) and idiopathic dilated cardiomyopathy 13 (10.23%). Successful
pharmacological cardioversion was achieved in 29 (22.83%) patients with
amiodarone and 3(2.36%) patients with lignocaine. The rest of patients were
cardioverted with electrical cardioversion. A total of 8 (6.3%) patients expired.
Conclusion: Most common cause of ventricular arrhythmias was coronary artery
disease followed by ischemic and dilated cardiomyopathies. Commonly
used technique of cardioversion was pharmacological for hemodynamically
stable patients and electrical for hemodynamically unstable patients.
its causes, treatment, in-hospital course and short term outcome of ventricular
arrhythmias in patients admitted to a tertiary care hospital.
Methodology: This observational study was conducted in Cardiology Unit of
Lady Reading Hospital, Peshawar from Ist September 2014 to 31st March 2015.
All patients with ventricular arrhythmias admitted during study duration were
included after fulfilling the inclusion and exclusion criteria. Their baseline, clinical,
echocardiographic characteristics, treatment and hospital outcome were
recorded in a specially designed proforma. SPSS version 19 was used for statistical
analysis.
Results: A total of 127 patients were included in the study. Males were 93
(73.22%). Mean age was 43.42 ±10.7 years. Causes of ventricular arrhythmias
were acute coronary syndrome 51 (40.15%), ischemic cardiomyopathy
27 (21.25%) and idiopathic dilated cardiomyopathy 13 (10.23%). Successful
pharmacological cardioversion was achieved in 29 (22.83%) patients with
amiodarone and 3(2.36%) patients with lignocaine. The rest of patients were
cardioverted with electrical cardioversion. A total of 8 (6.3%) patients expired.
Conclusion: Most common cause of ventricular arrhythmias was coronary artery
disease followed by ischemic and dilated cardiomyopathies. Commonly
used technique of cardioversion was pharmacological for hemodynamically
stable patients and electrical for hemodynamically unstable patients.
Article Details
How to Cite
1.
Zeb S, Adil M, Zeb J, Zeb R, Jan H, Irfan M. ETIOLOGY, TREATMENT AND SHORT TERM OUTCOME OF VENTRICULAR ARRHYTHMIAS IN PATIENTS ADMITTED TO A TERTIARY CARE HOSPITAL. J Postgrad Med Inst [Internet]. 2017 Dec. 9 [cited 2024 Nov. 21];31(4). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/2081
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