Complications may occur immediately following the MI or may need time to develop. Įvidence from several randomized clinical trials during the past two decades has established that immediate and complete restoration of flow in the occluded artery decreases infarct size, preserves left ventricular (LV) function, and improves survival rates. Moreover, women are at greater risk than men. In Pakistan, it is estimated that one of every five middle-aged adults may have an underlying subtle CAD. The population of Southeast Asia are reported to have the highest risks of CAD. Ischemic heart disease is a growing cause of death in the developing countries. STEMI is observed more frequently in men than women. An estimated three million people experience ST-segment elevation myocardial infarction (STEMI) per annum globally, and the average incidence of non-ST-segment elevation myocardial infarction (NSTEMI) is estimated at four million per annum. CAD is responsible for 30% of all mortalities. Myocardial infarction (MI) is considered one of the leading presentations of CAD. The complications include the mechanical and electrophysiology of the heart.Ĭoronary artery disease (CAD) is the leading cause of death worldwide. TIMI scoring provides a better assessment in terms of complications caused by STEMI.
Death occurred in seven (3.41%) patients in the low-risk group, 19 (12.66%) patients in the moderate-risk group, and seven (50%) patients in the high-risk group. Cardiogenic shock occurred in seven (3.41%) patients in the low-risk group, 47 (31.33%) patients in the moderate-risk group, and 0 (0%) patient in the high-risk group. Left ventricular dysfunction was noted in 158 (77.07%) patients in the low-risk group, 78 (52%) patients in the moderate-risk group, and seven (50%) patients in the high-risk group. Post-myocardial infarction arrhythmias were noted in 33 (16.09%) patients in the low-risk group and six (4%) patients in the moderate-risk group. Of the 369 patients, 205 (55.6%) were included in the low-risk group, 150 (40.7%) in the moderate-risk group, and 14 (3.8%) in the high-risk group. A total of 174 (47.2%) patients were smokers, 79 (21.4%) were obese, and 93 (25.2%) had hyperlipidemia. The study included 285 male patients (77.2%) and 84 (22.8%) female patients.
The frequency of complications of anterior wall myocardial infarction at the time of discharge was compared among these groups. Patients were divided into three groups: low-risk, moderate-risk, and high-risk TIMI groups. The TIMI score was calculated by proforma at the time of admission. A total of 369 patients were selected who had anterior wall myocardial infarction and received thrombolytic therapy, according to the inclusion and exclusion criteria. The study duration was six months, from Septemto March 23, 2017.
Variables of timi risk score series#
This study was designed to determine the frequency of cardiac complications of anterior wall STEMI assessed on TIMI risk score and to compare the rate of cardiac complications according to the TIMI score.Īn observational case series study was conducted in the Department of Cardiology at Sandeman Provincial Hospital in Quetta, Pakistan. The Thrombolysis in Myocardial Infarction (TIMI) risk score for ST-segment elevation myocardial infarction (STEMI) is based on eight high-risk parameters that can be used at the bedside for risk stratification of patients presenting with STEMI.
Effective risk stratification is integral to the management of acute coronary syndromes.
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