CLINICALAND ECHOCARDIOGRAPHIC PREDICTORS OF IN-HOSPITAL MORTALITY IN ST ELEVATION MYOCARDIAL INFARCTION IN A TERRITORY CARE CENTER.

Background: The most important clinical factors of in-hospital mortality in STEMI are killip class, age, Blood pressure and heart rate and diabetesmellitus. In contrast, systemic hypertension with left ventricular hypertrophy has modestly favourable impact our in-hospital mortality in patientswith STEMI.Methods: Patients were included in this study if they fullled the following criteria. Patients with Acute STEMI within seven days of MI.Demographic, clinical, diagnostic, management and survival data were obtained and recorded. Age and Sex distribution, risk factor distribution,Hypertension diabetes, dyslipidemia, s moking, family history of premature CAD was identied and recorded.Results: A total of 705 patients were enrolled and number of patient in survival group 662 and in mortality group 43.Out of 705 patients,322patients received Thrombolytic therapy(46.2%) among which 282 patients (89.2%) survived and 40 patients (10.8%) died. Thrombolytic therapywas successful (>50% resolution) in 110 patients. Signicant 12.23% number of patients who had successful Thrombolysis survived (34.8 %) fewdeaths (10%) occurred after successful Thrombolysis.Conclusion: In conclusion, the electrocardiographic characteristics associated with higher in hospital mortality are ST segment resolution <50%,ST depression is in non infarct leads and arrhythmias. Bedside 2 dimensional and Doppler Echo cardiogarphy provides additional prognosticinformation over clinical and biological parameters that are routinely determined in patients presenting with STEMI.