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


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.


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

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