ABSTRACT

IN HOSPITAL OUTCOMES: ARRHYTHMIA, CARDIOGENIC SHOCK, AND MORTALITY OF STEMI IN CARDIOLOGY DEPARTMENT OF DR.M.DJAMIL PADANG HOSPITAL

Wiza Erlanda, Chandra Wijaya, Yerizal Karani, Masrul Syafri

Division of Cardiology and Vascular Medicine, Faculty of Medicine, Andalas University

General Hospital of Dr. M. Djamil Padang

Background: The incidence of hospital admissions for ST-segment elevations (STEMI) increase every decade. Arrhythmia, Shock Cardiogenic, and Mortality are Major adverse cardiac events (MACEs) can occur during hospitalization. Many risk factors influence, one of them are the characteristic of lesions and revascularization. Methode: Data from patients with STEMI were collected between Januari 1,2014 Desember 31, 2014. We divided patients into three in hospital outcome categories: arrhythmia, cardiogenic shock, and mortality. From all categories, we divided them based on characteristic of lesions and revascularization. Result: From 280 patients, Arrhythmia was found in 80 patients (28.5 %). AV block (52,5%), AF (30%) and VT (17,5%) are main cases. Cardiogenic shock in 22 patients (7.9 %) and mortality in 32 patients (11.4 %). 88 % patients AV block in inferior and 12 % in anterior. 54.1% AF in anterior and 45.9 % in inferior. 57 % VT in anterior. 72.7% cardiogenic shock in anterior. 68,8% mortality in anterior. All outcomes more common in STEMI without revascularization: 75% in AF; 64.9 % in AV block; 85.8 % in VT, 91 % in cardiogenic shock, and 84.4 % in mortality.

Conclusion: Arrhythmia are most outcomes occur during hospitalization in STEMI patient, followed by mortality, and cardiogenic shock. Arrhythmia, in particular AV block is often in inferior. Cardiogenic shock and death are often in anterior. All of these complications are more common in patients without revascularization.

Keywords: STEMI, in hospital outcome, characteristic of lesions, revascularization, registry.