SHORT TERM CLINICAL OUTCOMES IN NON ST SEGMENT ELEVATION MYOCARDIAL INFARCTION PATIENTS WITH HIGH THROMBOLYSIS IN MYOCARDIAL INFARCTION (TIMI) RISK SCORE

Objective: To determine short-term clinical outcomes and factors related to them in non ST segment elevation myocardial infarction (NSTEMI) patients with high Thrombolysis in Myocardial Infarction (TIMI) risk score. Methodology: This cross-sectional study was conducted in the in the Department of cardiology, Lady Reading hospital, Peshawar from1st January 2016 to 30th June,2016. Patients of Non STEMI elevation acute myocardial infarction (MI) having high TIMI score were included in the study in a consecutive manner and followed to determine the short-term clinical outcome. Socio-demographic factors were correlated with the outcome among the study participants. Results: In this study 167 patients were included, with 65.3% males. Mean age of the patients was 52.8 +7.6 years. About 56.3% patients had hypertension, 41.3% had diabetes mellitus and smoking was recorded in 52.7% of patients. Ventricular tachycardia was recorded in 10.2%, VF in 17.4%, AF in 9.6%, cardiopulmonary edema in 65.3%, cardiogenic shock in 49.7%, CHB in 32.3% and in hospital death was recorded in 48.5% of patients. Presence of DM and smoking were significantly correlated with presence of various complications among the study participants. Conclusion: Adverse clinical outcome were highly prevalent in our patients presenting with NSTEMI and high TIMI score. Patients who have been cigarette smokers and suffering from diabetes mellitus should be cautiously followed up and screened for the complications after the NSTEMI.