Incidence and Impact of Arrhythmias in the First 24 Hours of Hospitalization in Patients with ST-Elevation Myocardial Infarction at a Tertiary Care Hospital (Code-T0253)

Introduction: ST-Elevation Myocardial Infarction (STEMI) is a critical cardiovascular emergency often complicated by arrhythmias, which can significantly impact patient outcomes. Early identification and management of arrhythmias in the first 24 hours of hospitalization are crucial in improving prognosis. This study aims to evaluate the incidence and types of arrhythmias in STEMI patients and assess their impact on in-hospital prognosis.

Aims and Objectives:

1. To determine the incidence and types of arrhythmias occurring in the first 24 hours in STEMI patients.
2. To evaluate the impact of these arrhythmias on in-hospital morbidity and mortality.

Methods: This prospective observational study will be conducted at a tertiary care hospital. STEMI patients admitted within 12 hours of symptom onset will be continuously monitored for 24 hours. Arrhythmias will be classified based on electrocardiographic findings, and their impact on hemodynamic stability, complications, and in-hospital mortality will be analyzed. Statistical analysis will be performed using SPSS software.

Results: The study will determine the frequency and types of arrhythmias, their correlation with clinical outcomes, and their prognostic significance in hospitalized STEMI patients.

Conclusion: Understanding the incidence and impact of arrhythmias in STEMI patients can aid in early risk stratification and targeted interventions, ultimately improving in-hospital outcomes.

Keywords: ST-Elevation Myocardial Infarction, Arrhythmias, Prognosis, In-Hospital Mortality, Electrocardiography, Risk Stratification.