TO STUDY THE CORRELATION BETWEEN ECG AND 2D ECHOCARDIOGRAPHY IN LOCATING ACUTE MYOCARDIAL INFARCTION AND PREDICTING COMPLICATIONS

Abstract

Background and purpose: Cardiovascular diseases are at present the leading causes of death in the developed and also developing countries. IHD is a great killer accounting for15% of all mortality in India. The purpose of this study is to correlate between ECG & 2D Echocardiography in locating acute myocardial infarction and Predicting complications. Methods: 86 cases of acute myocardial infarction admitted in ICCU of BLDE (DEEMED TO BE UNIVERSITY) Shri. B. M. Patil Medical College HOSPITAL and Research Centre, VIJAYAPURA, India between December 2016 to August 2018 were studied. All patients were evaluated for risk factors. 12-leadECG and 2D ECHOCARDIOGRAPHY with cardiac enzyme estimation was done. Complication such as Arrhythmias, cardiogenic shock, LVEF status and mortality were noted, result were studied. Results: On ECG, infarct site were as follows in the order of decreasing frequency. Inferior wall with right ventricle > extensive anterior >anterior septal >antero-lateral. The lesions seen on ECG correlated broadly with those seen on echocardiography with more elaborated detail was noticed. 62% were males and 38% were females of which incidence being more common between 4th to 7th decade of life. Incidence of AMI was more common in patients with smoking/tobacco chewing and hypertension. Incidence of AWMI was equal to IWMI. Out of all arrhythmias, VT was seen in most common preponderance to AWMI. CHB and SB were commonly seen with IWMI,. BBB was more common in AWMI than IWMI xiii Conclusion: The location of MI seen on ECG correlated broadly with those seen on echocardiography. Echo was able to elaborate regional wall motion abnormalities in detail than ECG. Tachyarrhythmias are more common with AWMI and bradyarrhythmias in IWMI.