VALIDATION OF ECG CRITERIA OF SUCCESSFUL THROMBOLYSIS

Authors

  • Umar Farooq
  • Syed Nauman Ali
  • Kashif Ali Hashmi

DOI:

https://doi.org/10.47144/phj.v48i1.867

Keywords:

TIMI Grade 3, Angiography, ECG Criteria of Successful Thrombolysis, STEMI

Abstract

Objective: To determine the frequency of TIMI (Thrombolysis in MyocardialInfarction) grade 3 on angiography in patients presenting with acute STEMI whofulfill ECG criteria of successful thrombolysis after being thrombolysed withstreptokinase.

Methodology: This descriptive study was conducted at Chaudhry Pervaiz ElahiInstitute of Cardiology, Multan from August 2013 to March 2014. Patients withacute STEMI who were thrombolysed with streptokinase and whom ECGs weremeeting criteria of successful thrombolysis (showing ST segment resolution of50% from J point) were included. These patients under went coronaryangiography to evaluate the frequency of TIMI grade 3 flow. Data was analysedusing SPSS version 16.

Results: A total of 178 patients were studied. Males were 84.8% (n=151). Meanage was 47.06±1.26 years(25-65 years). TIMI grade 3 flow on angiography wasachieved in 82.6%(n=147) while 17.4% (n=31) patients did not. There was nostatistically difference of TIMI grade 3 between males and females (81.5% vs.88.9%, p=0.348). In comparison to non-diabetics, less number of diabeticpatients achieved TIMI grade 3 flow (88.5% vs. 66.7%,p=0.001). Similarly, nonhypertensivehave got more TIMI grade 3 vs. hypertensive patients(92.2% vs.65.1%,p=0.000). There was no statistical difference between the patients withfamily history of IHD and those without family history of IHD (74.4% vs.85.2%,p= 0.105). Surprisingly, smokers had got more TIMI grade 3 ascompared to non-smokers (88.1% vs. 75.3%, p = 0.026).

Conclusion: We concluded that ECG criteria of successful thrombolysis is verygood predictor of infarct related artery patency.

Downloads

Download data is not yet available.

Downloads

How to Cite

1.
Farooq U, Ali SN, Hashmi KA. VALIDATION OF ECG CRITERIA OF SUCCESSFUL THROMBOLYSIS. Pak Heart J [Internet]. 2015Jun.18 [cited 2024Nov.23];48(1). Available from: https://pakheartjournal.com/index.php/pk/article/view/867

Issue

Vol. 48 No. 1 (2015): Pakistan Heart Journal

Section

Original Article

License

When an article is accepted for publication in the print format, the author will be required to transfer exclusive copyright to the PHJ and retain the rights to use and share their published article with others. However, re-submission of the full article or any part for publication by a third party would require prior permission of the PHJ.

Online publication will allow the author to retain the copyright and share the article under the agreement described in the licensing rights with creative commons, with appropriate attribution to PHJ. Creative Commons attribution license CC BY 4.0 is applied to articles published in PHJ https://creativecommons.org/licenses/by/4.0/