Browsing by Author "Barakoti, MP"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Publication Outcome of primary percutaneous coronary intervention versus thrombolysis in ST segment elevation myocardial infarction in tertiary Centre(Institute of Medicine, 2013) Barakoti, MP; Sayami, A; Paudel, CMAbstract Introduction: As myocardial infarction has become leading cause of death throughout the world, reperfusion therapy either by fibrinolysis or with primary percutaneous coronary intervention (PCI) in appropriate patients becomes necessary. The study aims to evaluate the outcome of patients with ST segment elevation myocardial infarction treated with PCI and fibrinolysis in our setting. Methods: Retrospective analysis for risk factors, complication and in-hospital mortality was done in patients presented with acute ST segment elevation myocardial infarction to emergency department of Manmohan cardiothoracic vascular and transplant centre from April 2012 to April 2013. Results: Total 36 patients were admitted in the study period with ST elevation myocardial infarction and candidate for reperfusion. Half of them had undergone primary PCI. Patients on PCI group were having more Anteroseptal wall involvement, diabetes mellitus, higher Killip class at admission and few patients presented later than 24 hours than in fibrinolysis group. The overall complication rate and in-hospital mortality were similar in both groups (P= 0.062, 0.572 respectively). Conclusion: This study showed similar mortality and complication rate in primary PCI group and Fibrinolytics group in spite the fact that patients in the PCI group had higher baseline risk. Keywords: fibrinolysis, PCI, myocardial infractionPublication Prevalence of Early Repolarization Patterns in Adults(Kathmandu University, 2016) Barakoti, MP; Karki, A; Chaulagain, MK; Karki, DBABSTRACT Background The finding of persistent Junction point elevation of 1 mm or more in adjacent leads in electrocardiogram is considered to be due to early repolarization. This condition was considered benign in the past but presently it is believed to be the rare cause of idiopathic ventricular fibrillation and sudden death. Objective The main objective of the study is to find out the prevalence of early repolarization pattern in subjects having electrocardiogram at Kathmandu Medical College Teaching Hospital. Method Twelve lead electrocardiograms of patients attending Kathmandu Medical College Teaching Hospital were studied. Data was collected for patient particulars. Electrocardiograms were analyzed for the type of early repolarization. Result The overall prevalence of early repolarization pattern of electrocardiogram was 2.82 %. It’s prevalence in male and female was 4.95 % and 0.77 % respectively. The prevalence of different types of early repolarization electrocardiography pattern was 0.70 %, 1.25% and 0.63% of the population studied for type I, II, and III early repolarization patterns. Type IV or Brugada pattern was not detected in our study. Conclusion The commonest pattern observed was type II that is early repolarization pattern in inferior or inferolateral leads. Having knowledge of early repolarization and its type helps to counsel the physicians about the risk of arrhythmia and sudden cardiac death. KEY WORDS Electrocardiogram, prevalence, repolarization