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admission, heart rate on admission (sinus rhythm), arrhythmias, contraindication to thrombolytic therapy, STEMI / NON STEMI, Q waves on admission, infarct location, pain to needle time, pain to door time, door to needle time, ecg evidence of early reperfusion, in hospital outcome edeath/further deterioration, functional status at discharge, left ventricular ejection fraction at discharge, mitral regurgitation at discharge. Results: Total 204 patients were studied, out of which 198 patients were thrombolysed. The results of which are as follows: out of 198 patients studied 164 (82.8%) were males and 34 (17.17%) were females. Most common age group of presentationwas 50-75 yrs. The mean time of delayed presentation was found to be 4.5 hrs. The delay to hospital was more in 50-75yrs age group (p value <0.05). The delay was more in the diabetic patients as compared to the patients without diabetes (p value<0.01). Patients with past history of angina, onset of symptoms in the early morning and late night, low socioeconomic & low educational status was significantly associated with delay of more than two hours in seeking hospital care (p value< 0.05). The incidence of mortality, heart failure, fatal arrhythmias, lower ejection fraction, acute kidney injury, mitral regurgitation was more in patients presenting after two hours. Conclusion: The result of this study suggests that a large proportion of patients with acute myocardial infarction continue to exhibit delay in hospital presentation. The characteristic of many of these individuals can be identified in advance for targeted educational efforts.

indian heart journal

A multicentric, retrospective, outcome analysis of contemporary antiplatelet discontinuation practices in coronary artery disease patients undergoing cardiac / non cardiac surgeries