Echocardiographic Study to Assess Left Ventricular Function in Cases of Acute Myocardial Infarction with Comparison between Non ST Elevation Myocardial Infarction and ST Elevation Myocardial Infarction

Background: Myocardial Infarction is one of the leading cause of deaths & mortality worldwide. Echocardiography is the key investigation in cases of myocardial infarction and confirms the presence of regional wall motion abnormality, presence of left ventricular dysfunction and to assess ejection fraction, as left ventricular ejection fraction has both therapeutic and prognostic significance. Aims and Objective: To Assess Left Ventricular Function In Case of Acute Myocardial Infarction With Comparison Between Non ST Elevation Myocardial Infarction And ST Elevation Myocardial Infarction. Material and Method: Fifty consecutive patients of STEMI and NSTEMI admitted from the outdoor patient department / emergency ward /cardiology unit in MMIMSR Mullana, Ambala, were considered for the study. Study Design: A prospective, observational, clinical study. Study Duration: December 2017–July 2019. Result: A statistically significant difference between two groups was observed for ventricular dimensions (LVIDd and LVPWd), EF%/FS/CO,In this study smoking emerged as a major risk factor with preponderance of inferior wall MI in patients with no other cardiovascular risk factor. Conclusion: In this studySTEMIwas more common in younger age group with male preponderance. LVEF/CO/ left ventricular dimension were more compromised in STEMI than NSTEMI. Left ventricular dysfunction after acute myocardial infarction predicts long term mortality and reduced LVEF may prompt greater consideration of invasive treatment and to guide care strategy.