Title: An Observational Study on Incidence of Ischemic Mitral Regurgitation Following First-Time Acute Coronary Syndrome
Authors: S. Saravanamoorthy, N. Vijayakumar, R. Umarani
DOI: https://dx.doi.org/10.18535/jmscr/v7i10.71
Abstract
Aims and Objectives: To study the incidence of Ischemic MR (IMR) following first episode of Acute Coronary Syndrome (ACS) and to study the correlation between ischemic MR and infarct location.
Methods: Patients admitted in CCU of RMMCH during the period of January 2019 to March 2019 were screened. After satisfying the inclusion & exclusion criteria, 48 patients were enrolled in the study. The demographic details, risk factors for CAD, Clinical findings, ECG findings, course in hospital, outcomes (till 10 days form admission) were recorded in a specially designated proforma. All these patients underwent ECHO imaging and the incidence of ischemic MR was evaluated.
Results: Out of 48 patients enrolled in our study 25% (n=12)of patients were found to have ischemic MR. Among the patients with IMR following ACS, 75% had IWMI and 25% had AWMI.
Conclusion: Mild functional ischemic mitral regurgitation following acute coronary syndrome is a very common finding on echocardiographic analysis. It was found to be more likely in elderly, diabetes and dyslipidemics. Patients with IWMI with RV extension is more prone for IMR.
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