STUDY OF CORRELATION OF ECG AND ECHOCARDIOGRAPHY LOCALISATION IN ACUTE MYOCARDIAL INFARCTION

Dr Pothula Rama Rao; Dr Prathap Bingi

Volume : VIII, Issue : IX, September - 2019

STUDY OF CORRELATION OF ECG AND ECHOCARDIOGRAPHY LOCALISATION IN ACUTE MYOCARDIAL INFARCTION

Dr Pothula Rama Rao, Dr Prathap Bingi

Abstract :

Acute myocardial infarction is one of the common diagnosis in hospitalized patients in both developed and developing countries, which is a serious complication of atherosclerotic coronary heart disease. In most patients it results from atherosclerotic occlusion of the related vessel resulting in infarct. Myocardial infarction may occur at any age but the frequency increases progressively with age. Ischemic heart disease is thus a great killer of mankind accounting for 15% of all mortality in India (1) (2). Acute myocardial infarction is characterized by retrosternal chest pain, radiating to ulnar aspect of left arm. In some patients particularly in elderly, acute myocardial infarction is not manifested clinically by chest pain but rather by symptoms of acute left ventricular failure (3). It is observed that various risk factors such as age, male sex, smoking, obesity, hyperlipidemia, diabetes mellitus, hypertension, family history of IHD, type A personality, play a role in the occurrence of myocardial infarction (4). Various methods such as QRS scoring index by ECG & left ventricular EF and wall motion abnormality by 2D Echo help in diagnosis and prognostification of myocardial infarction. These investigations are non–invasive and can be done at less advanced centres. Hence, this study is undertaken to correlate the site of infarction by ECG and 2D Echo.