FREQUENCY OF LEFT VENTRICULAR DYSFUNCTION IN PATIENTS WITH STEMI HAVING MARKEDLY RAISED TROPONIN T

Abstract

Objective: To determine the frequency of left ventricular dysfunction in patients
with STEMI having raised troponin T.
Methodology: 86 patients of acute MI with markedly raised Troponin T, admitted
to the between February to July 2011 were included in the study. Patient's details, relevant investigations and results were recorded in the proforma.
Results: Majority of the Acute STEMI patients with LVD lie in [51-60 years] age
group. Moreover minimum age was noted as 31 years while maximum 70. It was
also found that mean age was [54.41±9.90]. 73(84.9% )were males and 13
(15.1%) were females. It was found that among total of 86 patients there were 82 patients who had LVD while 2 patients did not show LVD. Moreover it was found that 12(14%) had mild, 42(48.8%) had moderate and 28(32.6%) has severe LVD. With relation to age among total 8 (9.3%) were of age group of 31-40. LVD was mild in 1(8.3%) moderate in 3 (7.1%) and severe in 4(14.3%). While 28 (32.6%) of patients of age group of 41-50 years, LVD was mild in 1(8.3%) moderate in14(33.3%) and severe in 13(46.4%).Similarly 29 (33.7%) of patients of age group of 51-60, years LVD was mild in 3(25%) moderate in 16(38.1%) and severe in 7(25%) while 21 (24.4%) of patients of age group of 61-70, years LVD was mild in 7(58.4%) moderate in 9(21.5%) and severe in 11(25%).
Conclusion: Left ventricular dysfunction is frequently seen in STEMI patients with markedly raised Troponin –T, which serve as simple, inexpensive, quick and noninvasive method of identifying patients with a left ventricular dysfunction.