Frequency of Accelerated Idioventricular Rhythm in Patients with Acute ST Elevation Myocardial Infarction Receiving Thrombolytic Therapy

Abstract

Objective: To determine the frequency of accelerated idioventricular rhythm in patients with acute ST elevation myocardial infarction receiving thrombolytic therapy.

Study Design: Descriptive study

Place and Duration of Study: This study was conducted at the Cardiology Department District Head Quarter Teaching Hospital (DHQ-TH) Bannu from February 2020 to August 2020.

Materials and Methods: A Total 372 patient of ST Segment elevated myocardial infraction (STEMI) aged 25 to 75 years of both gender were enrolled following written informed consent. Streptokinase was used as thrombolytic therapy and accelerated idioventricular rhythm (AIVR) was noted.

Results: In our study total 372 patients were enrolled with the mean age of 53.8±11.9 years. There were 53.2% males and 46.8% females. The most frequent risk factor was Hypertension in 83.9% patients, followed by Diabetes Mellitus 65.6%. Accelerated Idioventricular rhythm was present in 45.2% patients.

Conclusion: We observed that AIVR is a common reperfusion arrhythmia after thrombolysis with streptokinase