A clinical study of arrhythmias associated with acute coronary syndrome: a hospital based study of a high risk and previously undocumented population

Mahmood H. Khan; Shahab Uddin Talukder; M. Atahar Ali; A. Q. M. Reza; Shams Munwar; Tamzeed Ahmed; Kazi Atiqur Rahman; Kaisar N. Khan; Reazur Rahman; Poppy Bala; Md. Shamsul Alam; Azfar H. Bhuiyan; Aparajita Karim; S. M. Ziaul Haque; Md. Intekhab Yusuf; Mohd Zia Ur Rahman; Atique Bin Siddique; A. H. M. Waliul Islam; Nighat Islam; Hossain A. Tanbir; Md. Zahidul Haque; Mohammed Asif Ul Alam; Tanveer Ahmad; Md. Rahmat Ullah Asif; Soumen Chakraborty; A. M. Shafique; Anjan Kumar Das

doi:10.18203/2320-6012.ijrms20203457

Authors

Mahmood H. Khan Department of Clinical and Interventional Cardiology, Apollo Hospitals Dhaka, Bangladesh
Shahab Uddin Talukder Department of Clinical and Interventional Cardiology, Apollo Hospitals Dhaka, Bangladesh
M. Atahar Ali Department of Clinical and Interventional Cardiology, Apollo Hospitals Dhaka, Bangladesh
A. Q. M. Reza Department of Clinical and Interventional Cardiology, Apollo Hospitals Dhaka, Bangladesh
Shams Munwar Department of Clinical and Interventional Cardiology, Apollo Hospitals Dhaka, Bangladesh
Tamzeed Ahmed Department of Clinical and Interventional Cardiology, Apollo Hospitals Dhaka, Bangladesh
Kazi Atiqur Rahman Department of Clinical and Interventional Cardiology, Apollo Hospitals Dhaka, Bangladesh
Kaisar N. Khan Department of Cardiology, United Hospital Dhaka, Bangladesh
Reazur Rahman Department of Cardiology, United Hospital Dhaka, Bangladesh
Poppy Bala Department of Clinical and Interventional Cardiology, Apollo Hospitals Dhaka, Bangladesh
Md. Shamsul Alam Department of Clinical and Interventional Cardiology, Apollo Hospitals Dhaka, Bangladesh
Azfar H. Bhuiyan Department of Clinical and Interventional Cardiology, Apollo Hospitals Dhaka, Bangladesh
Aparajita Karim Department of Clinical and Interventional Cardiology, Apollo Hospitals Dhaka, Bangladesh
S. M. Ziaul Haque Department of Cardiology, Salalah Heart Center, Salalah, Oman
Md. Intekhab Yusuf Department of Medicine, George Eliot Hospital NHS Trust, UK
Mohd Zia Ur Rahman Department of Medicine, George Eliot Hospital NHS Trust, UK
Atique Bin Siddique Department of Medicine, George Eliot Hospital NHS Trust, UK
A. H. M. Waliul Islam Department of Clinical and Interventional Cardiology, Apollo Hospitals Dhaka, Bangladesh
Nighat Islam Department of Clinical and Interventional Cardiology, Apollo Hospitals Dhaka, Bangladesh
Hossain A. Tanbir Department of Clinical and Interventional Cardiology, Apollo Hospitals Dhaka, Bangladesh
Md. Zahidul Haque Department of Clinical and Interventional Cardiology, Apollo Hospitals Dhaka, Bangladesh
Mohammed Asif Ul Alam Department of Clinical and Interventional Cardiology, Apollo Hospitals Dhaka, Bangladesh
Tanveer Ahmad Department of Cardiology, United Hospital Dhaka, Bangladesh
Md. Rahmat Ullah Asif Department of Cardiology, United Hospital Dhaka, Bangladesh
Soumen Chakraborty Department of Cardiology, United Hospital Dhaka, Bangladesh
A. M. Shafique Department of Cardiology, Metropolitan Hospital, Chattogram, Bangladesh
Anjan Kumar Das Department of Cardiology, Cumilla Medical College, Cumilla, Bangladesh

DOI:

https://doi.org/10.18203/2320-6012.ijrms20203457

Keywords:

Acute coronary syndrome, Cardiac arrhythmia, Non- ST elevated ACS, ST elevated ACS

Abstract

Background: ACS represents a global epidemic. Arrhythmia in ACS is common. Careful investigation may lead to further improvement of prognosis. Retrospectively analyzed the year- round data of our center. Study was undertaken to analyze the incidence, frequency and type of arrhythmias in ACS. This is to aid timely intervention and to modify the outcome. Identification of the type of arrhythmia is of therapeutic and prognostic importance.

Methods: This cross sectional analytical study was conducted in the Department of Cardiology, Apollo Hospitals Dhaka, from January 2019 to January 2020 with ACS patients. Enrolled consecutively and data analyzed.

Results: There were 500 patients enrolled considering inclusion and exclusion criteria. Sample was subdivided into 3 groups on the type of ACS. Group-I with UA, Group-II with NSTE - ACS and Group-III with STE - ACS. Different types of arrhythmia noted. Types of arrhythmia were correlated with type of ACS. 500 patients included. Mean age 55.53±12.70, 71.6% male and 28.4% female. 60.4% hypertensive, 46.2% diabetic, 20.2% positive family history of CAD, 32.2% current smoker, 56.4% dyslipidaemic and 9.6% asthmatic. 31.2% UA, 39.2% NSTE-ACS and 29.6% STE-ACS. Type of arrhythmias noted. 22% sinus tachycardia, 20.2% sinus bradycardia, 9% atrial fibrillation, 5.2% ventricular ectopic, 4.8% supra ventricular ectopic, 2.8% bundle branch block, 2.2% atrio-ventricular block, 1% broad complex tachycardia, 0.4% narrow complex tachycardia, 0.2% sinus node dysfunction and 32.2% without any arrhythmia. Significant incidences of arrhythmia detected - respectively 29.8%, 39.2% and 31%, p<0.001.

Conclusions: In conclusion, arrhythmias in ACS are common. More attention should be paid to improve their treatment and prognosis.

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