THE FREQUENCY OF VSR (VENTRICULAR SEPTAL RUPTURE) AFTER ACUTE STEMI ST-ELEVATION MYOCARDIAL INFARCTION IN TERTIARY CARE HOSPITAL

Authors

  • A RAHIM Department of Cardiology, Saidu Teaching Hospital, Swat, Pakistan
  • J ALI Department of Cardiology, Lady Reading Hospital, Peshawar, Pakistan
  • W SAJJAD Department of Cardiology, Lady Reading Hospital, Peshawar, Pakistan
  • A BILAL Department of Cardiology, Lady Reading Hospital, Peshawar, Pakistan
  • SU REHMAN Department of Cardiology, Lady Reading Hospital, Peshawar, Pakistan
  • DA JAN Department of Cardiology, Lady Reading Hospital, Peshawar, Pakistan
  • R ULLAH Intervention Cardiology National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.597

Keywords:

Ventricular Septal Rupture, Acute ST-Elevation Myocardial Infarction

Abstract

The purpose of the study was to find out how frequently ventricular septal rupture occurred in patients who had an acute ST-elevation myocardial infarction and then visited the cardiology department of Lady Reading Hospital in Peshawar. The cross-sectional design was employed in the investigation, which took place between April 6, 2018, and April 12, 2018. A thorough history and standard physical examination were performed on 346 patients while under observation. Baseline tests such as transthoracic echocardiography and electrocardiography were carried out to evaluate ventricular septal rupture. Records included age, gender, type of STEMI, diabetes mellitus, smoking, history of CAD, and prodromal angina. The study's findings indicated that the patients' mean age was 53, with a standard deviation of ±11.23. Of the patients, 32% were female and 68% were male. Furthermore, ventricular septal rupture was present in 5% of the patients but not 95%. Thus, the study concludes that 5% of cases of ventricular septal rupture followed an acute ST-elevation myocardial infarction.

Downloads

Download data is not yet available.

References

Águila, H. D., Monzón, Y. S., Estévez, A. F., Nóbrega, Y. R., and Freire, J. L. A. (2013). Interventricular septal rupture after acute myocardial infarction with intermittent opening and closing. CorSalud (Revista de Enfermedades Cardiovasculares) 5, 122-126.

Crenshaw, B. S., Granger, C. B., Birnbaum, Y., Pieper, K. S., Morris, D. C., Kleiman, N. S., Vahanian, A., Califf, R. M., and Topol, E. J. (2000). Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. Circulation 101, 27-32.

Fokkema, M. L., James, S. K., Albertsson, P., Akerblom, A., Calais, F., Eriksson, P., Jensen, J., Nilsson, T., de Smet, B. J., and Sjögren, I. (2013). Population trends in percutaneous coronary intervention: 20-year results from the SCAAR (Swedish Coronary Angiography and Angioplasty Registry). Journal of the American College of Cardiology 61, 1222-1230.

Gale, C., Allan, V., Cattle, B., Hall, A., West, R., Timmis, A., Gray, H., Deanfield, J., Fox, K., and Feltbower, R. (2014). Trends in hospital treatments, including revascularisation, following acute myocardial infarction, 2003–2010: a multilevel and relative survival analysis for the National Institute for Cardiovascular Outcomes Research (NICOR). Heart 100, 582-589.

Goldberger, A. L. (1975). Myocardial infarction: electrocardiographic differential diagnosis. (No Title).

Jones, B. M., Kapadia, S. R., Smedira, N. G., Robich, M., Tuzcu, E. M., Menon, V., and Krishnaswamy, A. (2014). Ventricular septal rupture complicating acute myocardial infarction: a contemporary review. European heart journal 35, 2060-2068.

Kristensen, S. D., Laut, K. G., Fajadet, J., Kaifoszova, Z., Kala, P., Di Mario, C., Wijns, W., Clemmensen, P., Agladze, V., and Antoniades, L. (2014). Reperfusion therapy for ST elevation acute myocardial infarction 2010/2011: current status in 37 ESC countries. European heart journal 35, 1957-1970.

Lemery, R., Smith, H. C., Giuliani, E. R., and Gersh, B. J. (1992). Prognosis in rupture of the ventricular septum after acute myocardial infarction and role of early surgical intervention. The American journal of cardiology 70, 147-151.

Longo, E. A., and Cohen, L. S. (1976). Rupture of interventricular septum in acute myocardial infarction. American Heart Journal 92, 81-85.

Lopez-Sendon, J., Gurfinkel, E. P., Lopez de Sa, E., Agnelli, G., Gore, J. M., Steg, P. G., Eagle, K. A., Cantador, J. R., Fitzgerald, G., and Granger, C. B. (2010). Factors related to heart rupture in acute coronary syndromes in the Global Registry of Acute Coronary Events. European heart journal 31, 1449-1456.

Moreyra, A. E., Huang, M. S., Wilson, A. C., Deng, Y., Cosgrove, N. M., Kostis, J. B., and Group, M. S. (2010). Trends in incidence and mortality rates of ventricular septal rupture during acute myocardial infarction. The American journal of cardiology 106, 1095-1100.

Nichols, M., Townsend, N., Scarborough, P., and Rayner, M. (2013). Cardiovascular disease in Europe: epidemiological update. European heart journal 34, 3028-3034.

Pedersen, F., Butrymovich, V., Kelbæk, H., Wachtell, K., Helqvist, S., Kastrup, J., Holmvang, L., Clemmensen, P., Engstrøm, T., and Grande, P. (2014). Short-and long-term cause of death in patients treated with primary PCI for STEMI. Journal of the American College of Cardiology 64, 2101-2108.

Puymirat, E., Simon, T., Steg, P. G., Schiele, F., Gueret, P., Blanchard, D., Khalife, K., Goldstein, P., Cattan, S., and Vaur, L. (2012). Association of changes in clinical characteristics and management with improvement in survival among patients with ST-elevation myocardial infarction. Jama 308, 998-1006.

Radford, M. J., Johnson, R., Daggett Jr, W., Fallon, J., Buckley, M., Gold, H., and Leinbach, R. (1981). Ventricular septal rupture: a review of clinical and physiologic features and an analysis of survival. Circulation 64, 545-553.

Downloads

Published

2023-12-15

How to Cite

RAHIM , A., ALI , J., SAJJAD , W., BILAL , A., REHMAN , S., JAN , D., & ULLAH , R. (2023). THE FREQUENCY OF VSR (VENTRICULAR SEPTAL RUPTURE) AFTER ACUTE STEMI ST-ELEVATION MYOCARDIAL INFARCTION IN TERTIARY CARE HOSPITAL. Biological and Clinical Sciences Research Journal, 2023(1), 597. https://doi.org/10.54112/bcsrj.v2023i1.597

Most read articles by the same author(s)

1 2 > >>