Areeba Riaz, Majid Kaleem, Sobia Mughal.
Frequency of complications of anterior wall myocardial infarction.
Pak Heart J Jan ;50(3):190-3.

Objective: To determine the frequency of different complications of anterior wall myocardial infarction. Methodology: This cross sectional study was conducted from 1 June to 31 December 2016 at Gulab Devi Chest Hospital, Lahore. All acute anterior wall MI patients aged between 22 to 90 years of age, fulfilling the inclusion criteria , were selected . Questionnaire was made to collect data. It included the history and clinical findings to study the complications of anterior wall MI. Clinical diagnosis was made using ECG, echocardiography and chest X-ray. SPSS version 16 was used for data entry and its analysis. Result: Total of 100 patients were included. The mean age of our patients was 53.83+-10.6 years. Majority of patients (80%) were males. The most common complication was left ventricular dysfunction, present in 49% of patients, in whom 24% patients had mild, 18% had moderate and 58% had severe LV dysfunction. Other complications such as right ventricular failure occurred in 10% patients, while 10% patients suffered from cardiogenic shock. About 8% of patients had arrhythmias, infarct extensions were found in 6% patients, 5% had pericarditis, ventricular aneurysms occurred in 4% patients, stroke was seen in 3% of patients and the mechanical complications such as mitral regurgitation and ventricular septal rupture occurred in 12% and 3% of patients, respectively. Conclusion: Anterior wall myocardial infarction may lead to a number of complications, commonest being left ventricular dysfunction followed by heart failure, cardiogenic shock, acute MR and stroke.

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