DOI: 10.36347/sjams.2019.v07i03.019

Pages: 950-953

Background: Cardiovascular diseases occupy the first rank in worldwide mortality and acute coronary represents a global epidemic. The evaluation of the patients of ischaemic heart disease has emerged as one of the common indication for the use of Holter monitoring or ambulatory electrocardiography. Aim and objective: To ascertain the effectiveness of Holter monitoring in the evaluation of the acute myocardial infraction, after an acute phase of coronary care unit. Material and Method: Descriptive type of cross sectional study was conducted on 50 patients of AMI after obtaining written informed consent. Trillium 3000 Digital Holter Cardiology system manufactured by Forest Medical was used in present study. Observation and Results: In present study 78% (39) were males and 22% (11) were females. Maximum incidence of AMI was seen in 5th decade of life. Out of 50 patients 39 (78%) patients showed complication on Holter monitor and 11 (22%) were uncomplicated cases. In our study ventricular ectopics (46%) found to be most common complication of AMI after acute phase. Other commonest finding noted were supraventricular ectopics (38%), sinus tachycardia (26%) and ST displacement (re-elevation in same leads again) in 26% of cases. Conclusion: Holter monitoring can be is a useful modality of for the evaluation of AMI patients after acute phase of coronary care unit.