CLINICAL AND ANGIOGRAPHIC PROFILE OF PATIENTS WITH COMPLETE HEART BLOCK
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 36
Abstract
BACKGROUND The angiographic findings and prognosis of patients with Complete Heart Block (CHB) remain unclear. Thus, we aimed to study the clinical profile, risk factors, angiographic distribution and in-hospital outcomes of patients with complete heart block. MATERIALS AND METHODS This was a prospective, single-centred study which included 100 patients who came to the emergency department with CHB. Routine blood investigations including serum electrolytes were done. Coronary angiogram was done and lesions were assessed. Temporary pacemaker was implanted followed by permanent pacemakers in required patients, and in-hospital complications were noted down. RESULTS Commonest age group was above 60 years (75%). The patients were predominantly males. Most common presentation was chest pain (60%); there was regional wall motion abnormality in 30% patients. Degenerative complete heart block was seen in 34% patients, diphtheric myocarditis in 15%, hypokalaemic in 15%, dilated cardiomyopathy in 2%. Of total 53 patients had AV block, 14 had bifascicular block, 23 had LBBB, 6 had RBBB, 3 had Mobitz I and 1 had Mobitz II. Inferior wall myocardial infarction (MI) was pervasively present in patients. Temporary pacemakers were implanted in 6 patients and permanent pacemakers in 43 patients. In-hospital outcomes constituted of complication like cardiogenic shock (10%) and death (26%). The patients who died either had 80% -90% stenosis in RCA, triple vessel disease, ostioproximal LAD occlusion or diphtheric myocarditis. CONCLUSION Complete heart block was majorly associated with advanced age and inferior wall MI, virtually caused by dominant RCA occlusion. The in-hospital mortality was significantly higher in the patients with CHB.
Authors and Affiliations
Kavya Pingali, Adikesava Naidu Otikunta, Subba Reddy Y. V, Ravi Srinivas
Keywords
Related Articles
- EP ID EP219066
- DOI 10.18410/jebmh/2017/424
- Views 97
- Downloads 0
EFFECT OF ISOMETRIC HAND GRIP EXERCISE TRAINING ON CARDIOVASCULAR AND ECHOCARDIOGRAPHIC PARAMETERS AMONG HEALTHY YOUNG MALES
Low level of physical fitness and sedentary life style is becoming one of the major risk factor of cardiovascular disease morbidity and mortality. Isometric hand grip exercise (IHG exercise) as a form of static resistanc...
CLINICO-EPIDEMIOLOGICAL PROFILE OF BREAST CANCER PATIENTS IN CENTRAL KERALA
BACKGROUND Breast cancer is the second most common cancer among women with increasing incidence. Mortality is higher in India compared to developed countries. A thorough knowledge of the epidemiological profile is impera...
STUDY ON MODE OF TERMINATION OF MEDIAN NERVE
Carpal tunnel syndrome (CTS) is a common focal peripheral neuropathy. Increased pressure in the carpal tunnel results in median nerve compression and impaired nerve perfusion leading to discomfort and paresthesia in the...
INCIDENCE OF POSTERIOR CAPSULAR OPACIFICATION WITH FOLDABLE ACRYLIC AND PMMA INTRAOCULAR LENS IMPLANTATION
BACKGROUND Posterior Capsular Opacification (PCO) is the commonest complication of cataract surgery today. There are considerable medical, social and economic adverse effects. The important factors to be considered for P...
COMPARISON BETWEEN INDUCTION WITH ETOMIDATE, PROPOFOL AND THIOPENTONE TO FACILITATE i-gel (SUPRAGLOTTIC AIRWAY DEVICE) INSERTION IN ELECTIVE SHORT SURGICAL PROCEDURES
BACKGROUND An ideal induction agent provides rapid and smooth onset of action, intraoperative amnesia and analgesia and optimal surgical conditions and adequate muscle relaxation with rapid recovery. Supraglottic airway...