Significance of ECG in Acute Myocardial Infarction Diagnosis in Absence of Chest Pain at Emergency Department

Abstract

Epigastric discomfort with/without chest pain is a common scenario in emergency/outdoor patient department. Patients having mild to moderate epigastric discomfort without retrosternal chest pain showing maiden ECG abnormalities like ST segment elevation/ depression. That’s why importance of ECG have been proven undoubtedly as life saving emergency investigation. 35 male and 28 female patient with age group of 32-67 years of old participated in this cross sectional study. Average age of male patients was 43+_ 2 and 49+_2 in female years.23 male and 19 female had history of repeated epigastric discomfort which was subsided by injectable Esomeprazole, anti emetics. Rest of patients have minor discomfort which was subsided by oral anti ulcerants. 10 male and 11 female patients who came in emergency & OPD department for relieving epigastric discomfort without having chest pain. 7 male patients having ST segment elevation /depression and followed by Troponin- I (according to post ECG advice for confirmed heart attack) in 2 male patients.5 females diagnosed as MI after getting ECG followed by Troponin-I result. Emergency and OPD should have ECG facility for it's specificity in early MI diagnosis. This early diagnosis can reduce cardiac mortality in middle ages to elderly patients in grass root level.