Evaluation of ventricular tachyarrhythmias in patients with myocardial infarction after streptokinase therapy

سال انتشار: 1400
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 123

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شناسه ملی سند علمی:

JR_CBJ-1-1_003

تاریخ نمایه سازی: 6 تیر 1401

چکیده مقاله:

Objectives: The occurrence of arrhythmias after myocardial infarction is associated with an increased risk of mortality. The purpose of this study was to investigate tachyarrhythmias after streptokinase therapy in myocardial infarction patients.Methods: This study was a case-control study. Among ۲۶۲ patients with myocardial infarction who received streptokinase, ۱۶۸ patients with ventricular tachyarrhythmia, ventricular fibrillation, or both (case group), and ۹۴ patients without arrhythmia (control group) were selected. Their clinical information were collected by questionnaire. Data were analyzed using SPSS ۲۰ software through Chi-square test and Wilcoxon rank-sum.Results: There was no relationship between demographic variables or electrocardiogram changes and the type of arrhythmia in ۱۶۸ participants in the group ۱ (p > ۰.۰۵). However, there was a significant relationship between age (p = ۰.۰۴), sex (p = ۰.۰۴۹), diabetes (p = ۰.۰۳۹), hypertension (p = ۰.۰۳۷), history of beta-blocker use (p = ۰.۰۲۸), history of aspirin use (p = ۰.۰۲۳), number of the leads involved (p = ۰.۰۲۳) and occurrence of arrhythmia among the participants in group ۲.Conclusions: According to the findings of this study, patients with myocardial infarction who need to receive thrombolysis and who have any of the following conditions should be monitored by the health care staff to prevent development of ventricular tachyarrhythmias: old age, male gender, history of diabetes mellitus, hypertension or more lead involvement in their electrocardiogram.

نویسندگان

Mohsen Abbasnezhad

Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Golnesa Shahnazarli

Department of Midwifery and Reproductive Health, School of Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran

Mohammadreza Taban Sadeghi

Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Razieh Parizad

Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Naser Khezerlouy Aghdam

Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Babak Nasiri

Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Bijan Zamani

School of Medicine, Ardabil Tabriz University of Medical Sciences, Ardabil, Iran