Abstract

A STUDY ON TREATMENT PATTERNS OF REVASCULARISATION AND ITS IMPACT IN SINGLE AND DOUBLE VESSEL DISEASE AT TERTIARY CARE HOSPITAL

P. Asmafreen*, C. Kalyani, B. Madhusree, Dr. K. Jagadeesh, Dr. C. Venkatesh, Dr. G. Vinod and Dr. A. Vasanth Kumar

Abstract

Background: Myocardial Infarction (MI) is defined pathologically as the irreversible death of myocardial cells caused by ischemia. MI is a syndrome that can be recognized by a set of symptoms, chest pain dizziness, nausea, sweating, and anxiety. Smoking and high cholesterol levels are the major risk factors for myocardial infarction. Objectives: This was a prospective observational study with the aim to study the treatment patterns of revascularisation in patients of single and multi vessel disease in myocardial infarction at tertiary care hospital. Materials and methods: A total 110 patients has been conducted and data was collected from male and female patients with Myocardial Infarction were included and pregnant, paediatrics was excluded. The patient’s case records, medication charts, lab reports with a suitably designed patient profile were used to collect required information. The results were generated using percentage calculations and graphs. Results: -Based on the percentage of Stenosis and length of vessel the Revascularization procedure was done in our study and Based on the percentage of Stenosis the patients who underwent Revascularization Procedures are PTCA 63% and CABG 24% and Medical Management 13%. Conclusion: Myocardial Infarction was seen more in males (69%) and at an age group of above 50 years and STEMI was mostly seen in our study. In our study the occurrence of Double vessel disease was more, followed by Single Vessel disease and Triple vessel disease. Treatment Patterns of Revascularization was followed as per the guidelines of American Heart Association.

Keywords: Myocardial Infarction, Revascularization, Percutaneous transluminal coronary angioplasty, Coronary Artery Bypass Grafting.