The association of changes in electrocardiography, echocardiography and cardiac enzymes with One-month mortality in AMI patients referring to Hajar Hospital of Shahrekord

Khaledifar, A. and Mobasheri, M. (2014) The association of changes in electrocardiography, echocardiography and cardiac enzymes with One-month mortality in AMI patients referring to Hajar Hospital of Shahrekord. Life Science Journal, 11 (9). pp. 432-436.

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Abstract

Background and aim: Various laboratory tests with their own particular strengths and weaknesses exist for diagnosis of acute myocardial infarction (AMI). This study was conducted to determine the association of changes in electrocardiography, echocardiography and cardiac enzymes with One-month mortality in AMI patients referring to Hajar Hospital of Shahrekord in 2011. Materials and method: For this descriptive analytical study, 107 AMI patients were randomly enrolled. For gathering data a questionnaire was used. Demographic data and test results of cardiac enzymes, EKG, and echocardiography according to the medical profile were registered in the questionnaire. The follow-up continued for 40 days through phone calls and medical profile and the mortality and/or any recurrent myocardial complication was entered into the medical profile. Data analysis was performed by SPSS 11 using chi-square, Spearman correlation coefficient, and t test. Results: The mean age of patients was 60.62± 12.58years. Mortality showed a direct association with age and personal history of ischemic heart disease (p<0.05). In addition, one-month mortality was directly associated with troponin, ejection fraction, and the number of segments involved in echocardiography (p<0.05); troponin level in outliving people was less, the mortality among patients with less ejection fraction was higher, and the number of involved segments was higher in the dead compared to the outliving. Conclusion: The findings of this study emphasize the value of echocardiography in determining the prognosis of AMI. Moreover, troponin could have a high prognostic value in addition to its high value in diagnosis.

Item Type: Article
Additional Information: cited By 0
Uncontrolled Keywords: Electrocardiography, Echocardiography, Cardiac enzymes, Acute myocardial infarction
Subjects: WG Cardiovascular System
Divisions: Faculty of Health > Department of Epidemiology
Faculty of Medicine > Department of Clinical Sciences > Department of Cardiology
Depositing User: zahra bagheri .
Date Deposited: 01 Aug 2017 06:14
Last Modified: 01 Aug 2017 06:14
URI: http://eprints.skums.ac.ir/id/eprint/2180

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