Volume : VII, Issue : II, February - 2018
HAEMODYNAMIC INSTABILITY : AN INDICATOR OF POOR OUTCOME IN PATIENTS OF SUSTAINED VENTRICULAR TACHYCARDIA ( VT ) – A TERTIARY CARE CENTER EXPERIENCE
Dr. Rahul Sudan, Dr. Gunjan Gupta, Dr. Prof. Khursheed Aslam, Dr. Irfan Yaqoob, Dr. Mehroz Ahmed
Abstract :
BACKGROUND : Sustained Ventricular Tachycardia ( VT ) is one of the most life threatening arrhythmias presenting in emergency. Haemodynamic instability in such patients further increases the morbidity and mortality.
AIMS AND OBJECTIVES : To study the effect of haemodynamic instability on the final outcome of sustained VT patients presenting in emergency and to study the clinicoaetiological profile of such patients..
METHODS : A total of 63 patients of sustained ventricular tachycardia ( VT ) presenting in emergency were enrolled. These patients were divided in to haemodynamically stable and unstable groups and were observed for their clinicoaetiological profile and outcome.
RESULTS : Haemodynamic instability at presentation was present in 22 patients ( 55 % ) of sustained VT, presenting in emergency. Majority of these patients were males ( 68 %). Polymorphic VT was present in 10 patients ; out of these 10 patients , 9 patients ( 90% ) were haemodynamically unstable. Coronary artery disease ( CAD) was the most common aetiology of haemodynamic instability seen in 15 patients ( 41 % ). Decreased Left Ventricular ejection Fraction ( LVEF ) was seen in 19 patients( 86 %) of haemodynamic instability.
CONCLUSION : Haemodynamic instability in sustained VT increases the mortality in such patients. Decreased LVEF and polymorphic pattern of VT are associated with increased chances of haemodynamic instability. Coronary artery disease ( CAD) is most common aetiology of haemodynamic instability in patients of sustained VT.
Keywords :
Haemodynamic instability Sustained ventricular tachycardia ( VT ) Polymorphic VT Left Ventricular Ejection Fraction ( LVEF )
Article:
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DOI : 10.36106/ijsr
Cite This Article:
Dr. Rahul Sudan, Dr. Gunjan Gupta, Dr. (Prof.) Khursheed Aslam, Dr. Irfan Yaqoob, Dr. Mehroz Ahmed, HAEMODYNAMIC INSTABILITY : AN INDICATOR OF POOR OUTCOME IN PATIENTS OF SUSTAINED VENTRICULAR TACHYCARDIA ( VT )‾A TERTIARY CARE CENTER EXPERIENCE, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH :
Volume-7 | Issue-2 | February-2018
Number of Downloads : 581
References :
Dr. Rahul Sudan, Dr. Gunjan Gupta, Dr. (Prof.) Khursheed Aslam, Dr. Irfan Yaqoob, Dr. Mehroz Ahmed, HAEMODYNAMIC INSTABILITY : AN INDICATOR OF POOR OUTCOME IN PATIENTS OF SUSTAINED VENTRICULAR TACHYCARDIA ( VT )‾A TERTIARY CARE CENTER EXPERIENCE, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-2 | February-2018
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