A recent multicentre registry that included STEMI patients undergoing PPCI from 12 countries showed a remarkably higher 30-day mortality rate in women, as compared to men. Despite being the best management strategy with a decrease in number of re-infarctions, almost 10% of patients undergoing percutaneous coronary intervention (PCI) die within three years, with women having a higher rate of adverse outcomes than men. The complications include the mechanical and electrophysiology of the heart.Ĭardiac complications diabetes mellitus st-elevation myocardial infarction thrombolytic therapy timi score.Primary percutaneous coronary intervention (PPCI) has played a significant role in reducing mortality rates in ST-segment elevation myocardial infarction (STEMI) patients. Conclusion TIMI scoring provides a better assessment in terms of complications caused by STEMI. Death occurred in seven (3.41%) patients in the low-risk group, 19 (12.66%) patients in the moderate-risk group, and seven (50%) patients in the high-risk group. Cardiogenic shock occurred in seven (3.41%) patients in the low-risk group, 47 (31.33%) patients in the moderate-risk group, and 0 (0%) patient in the high-risk group. Left ventricular dysfunction was noted in 158 (77.07%) patients in the low-risk group, 78 (52%) patients in the moderate-risk group, and seven (50%) patients in the high-risk group. Post-myocardial infarction arrhythmias were noted in 33 (16.09%) patients in the low-risk group and six (4%) patients in the moderate-risk group. Of the 369 patients, 205 (55.6%) were included in the low-risk group, 150 (40.7%) in the moderate-risk group, and 14 (3.8%) in the high-risk group. A total of 174 (47.2%) patients were smokers, 79 (21.4%) were obese, and 93 (25.2%) had hyperlipidemia. Results The study included 285 male patients (77.2%) and 84 (22.8%) female patients. The frequency of complications of anterior wall myocardial infarction at the time of discharge was compared among these groups. Patients were divided into three groups: low-risk, moderate-risk, and high-risk TIMI groups. The TIMI score was calculated by proforma at the time of admission.
A total of 369 patients were selected who had anterior wall myocardial infarction and received thrombolytic therapy, according to the inclusion and exclusion criteria. The study duration was six months, from Septemto March 23, 2017.
TIMI RISK SCORE CALCULATOR SERIES
Materials and methods An observational case series study was conducted in the Department of Cardiology at Sandeman Provincial Hospital in Quetta, Pakistan. This study was designed to determine the frequency of cardiac complications of anterior wall STEMI assessed on TIMI risk score and to compare the rate of cardiac complications according to the TIMI score. The Thrombolysis in Myocardial Infarction (TIMI) risk score for ST-segment elevation myocardial infarction (STEMI) is based on eight high-risk parameters that can be used at the bedside for risk stratification of patients presenting with STEMI. Introduction and objective Effective risk stratification is integral to the management of acute coronary syndromes.
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