DR VENKANNA'S THESIS
TITLE
CLINICAL PROFILE, COMORBIDITIES AND OUTCOMES IN PATIENT WITH CARDIAC ARRHYTHMIAS
PROBLEM STATEMENT :
Arrhythmias are a common dilemma confront-
ing the intensivist. They represent a major source of morbidity, and they lengthen hospital stay. Arrhythmias are most likely to occur in patients with structural heart disease. The inciting factor for an arrhythmia in a given
patient may be an insult such as hypoxia, infection, cardiac ischemia, catecholamine excess (endogenous or
exogenous), or an electrolyte abnormality. Management includes correction of these imbalances as well as medical
therapy directed at the arrhythmia itself.
The physiological impact of arrhythmias depends on ventricular response rate and duration as well as on the underlying cardiac function. Bradyarrhythmias may decrease cardiac output due to heart rate alone in
patients with relatively fixed stroke volumes, and loss of an atrial kick may cause a dramatic increase in pulmonary pressures in patients with diastolic dysfunction. Similarly, tachyarrhythmias can decrease diastolic
filling and reduce cardiac output, resulting in hypotension, in addition to producing myocardial ischemia.Clearly, the impact of a given arrhythmia in a given situation depends on the patient’s cardiac physiology and
function. Similarly, urgency and type of treatment are determined by the physiological impact of the arrhythmia as well as by underlying cardiac status.
AIM :
TO ASSESS CLINICAL PROFILE, COMORBIDITIES AND OUTCOMES IN PATIENT WITH CARDIAC ARRHYTHMIAS
OBJECTIVES :
1.To assess clinical profile & comorbidities in patients with arrhythmias
2.To assess assess outcome in patients with arrhythmias
MATERIALS AND METHODS :
PLACE OF STUDY : Department of General Medicine, Kamineni Institute of Medical Sciences, Narketpally
STUDY PERIOD : November 2023-October 2025
STUDY DESIGN : Prospective Study, Observational study
SAMPLE SIZE :
No.of cases to be studied = 50
INCLUSION CRITERIA :
Patient of any gender above or equal to 18 yrs of age at the time of presentation with arrhythmias
EXCLUSION CRITERIA:
All confirmed cases of Patients below 18 years of age
Patients not capable of giving consent (mentally-ill patients)
Patients not willing to participate in study (non-consenting patients)
METHODOLOGY :
Patients having irregular pulse and irregular heart rate in ECG are selected from CASULTY, OPD, IPD in Kamineni Institute of Medical Sciences, Narketpally.
Consent is taken from patient after explaining about the assessment and further follow up.
Patient examination and detaied history taken.
Necessary investigations done.
Patient Prognosis, outcome are assessed by follow up for 2years.
CONSENT :
I/WE, relative of the patient have read and understood the information provided in the patient information sheet and have been informed the purpose of the evaluation in the language I understand.
I am aware of the fact that I may not derive any benefit from the evaluation and that I deserve the right to opt out of the study at any point of time.
I willingly agree to participate in this study
Patients sign/thumb impression: witness sign/thumb impression
Name: name:
Date: date:
Residents sign:
Resident name:
date:
PROFORMA:
Serial No:
Name:
Age:
Sex:
Occupation:
Address:
IP / OP No:
D.O.A:
D.O.D/D.O.E:
SOB NYHA grade on admission:
Peripheral edema: Yes/No
SHT (Systemic Hypertension): Yes/No
DM (Diabetes Mellitus): Yes/No
Dyslipidemia: Yes/No
CAD (Coronary Artery Disease): Yes/No
CKD (Chronic Kidney Disease): Yes/No
COPD : Yes/No
Prior documented ADHF (Acute Decompensated Heart Failure): Yes/No
History of previous admissions:
Smoking: Yes/No
Alcoholic :Yes/No
Pedal edema:
Jvp : raised /not
Heart rate on admission:
Systolic blood pressure on admission:
Etiology: ischaemic / non ischaemic
Apex beat :
Blood Urea in mg/dl:
Serum Creatinine in mg/dl:
Serum Sodium in mEq/L:
Serum potassium in mEq/L
Hemoglobin in g/dl:
Ecg :
Chest x ray :
2D ECHO :
Outcome:
Asymptomatic/Symptomatically better/Same status/Died
