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Clinical Evaluation of Cardiac Failure in Post-Myocardial Infarction Patients
Visarg P Patel1, Sahil Kalsariya2, Ujval R Patel3
1Department of Medicine, Satva Medical and Heart Hospital, Kadi, Gujarat, India.
Journal of Pharmacy & Bioallied Sciences
|October 30, 2025
Summary
Post-myocardial infarction (MI) cardiac failure is predicted by segmental myocardial dysfunction and chamber anomalies. Early echocardiography and risk factor control are crucial for managing high-risk patients.
Area of Science:
- Cardiology
- Internal Medicine
Background:
- Myocardial infarction (MI) can lead to cardiac failure.
- Identifying complications and preventive measures is crucial for post-MI patients.
Purpose of the Study:
- To assess complications of myocardial infarction (MI).
- To evaluate precautionary and preventive measures in patients with cardiac failure post-MI.
Main Methods:
- A 12-month prospective observational study.
- Included 65 post-MI patients at a tertiary care facility.
- Utilized clinical evaluation, ECG, and 2D ECHO; assessed functional anomalies, chamber enlargement, RWMA, NYHA class, and comorbidities.
Main Results:
- Segmental dysfunction was the most frequent abnormality (59% by 2D ECHO).
- Left ventricular hypertrophy (32%) and left atrial enlargement (29%) were common.
- Prevalent symptoms included PND/orthopnea (78%), NYHA Class III/IV (67%), hypertension (72%), and diabetes (60%).
Conclusions:
- Segmental myocardial dysfunction, structural chamber anomalies, and ECG patterns predict post-MI cardiac failure.
- High-risk patients require early echocardiography, risk factor control, and timely heart failure treatment to improve outcomes.
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