SHORT TERM CLINICAL OUTCOMES IN NON ST SEGMENT ELEVATION MYOCARDIAL INFARCTION PATIENTS WITH HIGH THROMBOLYSIS IN MYOCARDIAL INFARCTION (TIMI) RISK SCORE

Abstract

Objective: To determine short-termclinical outcomes and factors related to themin non ST segment elevation myocardial infarction (NSTEMI) patients with highThrombolysis in Myocardial Infarction (TIMI) risk score.

Methodology: This cross-sectional study was conducted in the in theDepartment of cardiology, Lady Reading hospital, Peshawar from1st January2016 to 30th June,2016. Patients of Non STEMI elevation acute myocardialinfarction (MI) having high TIMI score were included in the study in a consecutivemanner and followed to determine the short-term clinical outcome. Sociodemographicfactors were correlated with the outcome among the studyparticipants.

Results: In this study 167 patients were included, with 65.3% males. Mean age ofthe patients was 52.8 +7.6 years. About 56.3% patients had hypertension,41.3% had diabetes mellitus and smoking was recorded in 52.7% of patients.Ventricular tachycardia was recorded in 10.2%, VF in 17.4%, AF in 9.6%,cardiopulmonary edema in 65.3%, cardiogenic shock in 49.7%, CHB in 32.3%and in hospital death was recorded in 48.5% of patients. Presence of DM andsmoking were significantly correlated with presence of various complicationsamong the study participants.

Conclusion: Adverse clinical outcome were highly prevalent in our patientspresenting with NSTEMI and high TIMI score. Patients who have been cigarettesmokers and suffering from diabetes mellitus should be cautiously followed upand screened for the complications after the NSTEMI.

Key Words: TIMI score, NSTEMI, Risk factors