Non ST Elevation Myocardial Infarction: Correlation of RBC Distribution Width with Syntax Score

2021 ◽  
Vol 15 (11) ◽  
pp. 3450-3452
Author(s):  
Adan Irfan ◽  
Muhammad Faheem ◽  
Abdul Rehman
Keyword(s):  
Myocardial Infarction ◽  
Blood Cells ◽  
Invasive Coronary Angiography ◽  
Clinical History ◽  
St Elevation Myocardial Infarction ◽  
Syntax Score ◽  
Distribution Width ◽  
History Of ◽  
St Elevation ◽  
Age Range

Background and objective: RDW (Red blood cells distribution width) is basically a numerical value and measure of the variability in size of erythrocytes. The main objective of the study is to analyse the correlation of RBC Distribution width with syntax score. Material and methods: This correlational study was conducted in Shalamar Medical & Dental College Lahore During June 2020 till December 2020. The data was collected from 120 patients. The age range for this study was 25 to 60 years and patients with non-STEMI undergoing invasive coronary angiography were included in the study. A comprehensive clinical history along with detailed history for major risk factors for IHD was taken from all patients followed by detailed clinical examination. Results: The data was collected from 120 patients of NSTEMI patients. There were 85 males and 35 females and mean age was 54.25±5.67 years. There were no statistical difference between low and intermediate SYNTAX group patients. There were 65.78% patients who had the history of smoking and 34.9% patients with hypertension. Conclusion: It is concluded that there is a strong and positive correlation between mean RDW and mean SYNTAX score in patients of non-ST elevation myocardial infarction. Key words: RDW, Score, Erythrocytes, SYNTAX

Factors influencing patient decision delay in activation of emergency medical services for suspected ST-elevation myocardial infarction

2020 ◽  
pp. 147451512095373
Author(s):  
Ahmad Alrawashdeh ◽  
Ziad Nehme ◽  
Brett Williams ◽  
Karen Smith ◽  
Michael Stephenson ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Emergency Medical Services ◽  
Symptom Onset ◽  
St Elevation Myocardial Infarction ◽  
Medical Services ◽  
Factors Associated ◽  
Emergency Medical ◽  
History Of ◽  
St Elevation ◽  
At Home

Objective: The purpose of this study was to identify factors associated with time delay to emergency medical services for patients with suspected ST-elevation myocardial infarction. Methods: This observational study involved 1994 suspected ST-elevation myocardial infarction patients presenting to the emergency medical services in Melbourne, Australia, between October 2011–January 2014. Factors associated with delays to emergency medical services call of >1 h and emergency medical services self-referral were analyzed using multivariable logistic regression. Results: The time of symptom onset was reported for 1819 patients (91.2%), the median symptom onset-to-call time was 52 min (interquartile range=17–176). Of all emergency medical services calls, 17% were referred by healthcare professionals. Compared to self-referred patients, patients who presented to a general practitioner or hospital had higher odds of delay >1 h to emergency medical services activation (adjusted odds ratio 7.76; 95% confidence interval 5.10–11.83; and 8.02; 3.65–17.64, respectively). The other factors associated with emergency medical services call delays of >1 h were living alone, non-English speaking background, a history of substance abuse, less severe symptoms, symptom onset at home and at rest, and self-treatment. Emergency medical services self-referred patients were more likely to be older than 75 years, have a history of ischemic heart disease or revascularization, more severe symptoms, and symptom onset at home, with activity, during the weekends and out-of-hours. Conclusion: Almost one-fifth of emergency medical services calls for suspected ST-elevation myocardial infarction were healthcare referrals, and this was associated with increased delays. A wide range of factors could influence a patient’s decision to directly and rapidly seek emergency medical services. More efforts are needed to educate at-risk populations about early self-referral to the emergency medical services.

scholarly journals Value of the SYNTAX Score in ST-Elevation Myocardial Infarction Patients With a Concomitant Chronic Total Coronary Occlusion(from the EXPLORE Trial)

2019 ◽  
Vol 123 (7) ◽  
pp. 1035-1043 ◽  
Author(s):  
Ivo M. van Dongen ◽  
Joëlle Elias ◽  
Héctor M. García-García ◽  
Loes P. Hoebers ◽  
Dagmar M. Ouweneel ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Coronary Occlusion ◽  
St Elevation Myocardial Infarction ◽  
Syntax Score ◽  
St Elevation ◽  
Chronic Total Coronary Occlusion

Frontal QRS-T angle predicts syntax score in patients with non-ST elevation myocardial infarction

2020 ◽  
Vol 61 ◽  
pp. 86-91
Author(s):  
Guney Erdogan ◽  
Osman Can Yontar ◽  
Mustafa Yenercag ◽  
Sefa Gul ◽  
Ugur Arslan
Keyword(s):  
Myocardial Infarction ◽  
St Elevation Myocardial Infarction ◽  
Syntax Score ◽  
St Elevation
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