Electrical and Mechanical Complications After Coronary Revascularization at the Cardiology Department in Rehman Medical Institute Hayatabad Peshawar, KPK, Pakistan Complications After Coronary Revascularization

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Published: Sep 26, 2024
DOI: https://doi.org/10.61919/jhrr.v4i3.1551
Keywords:
coronary revascularization, mechanical complication, electrical complication, PCI, CABG.

Main Article Content

Asim Rehman
Department of Cardiology, Rehman College of Allied Health Sciences, Rehman Medical Institute, Peshawar, Pakistan
Muhammad Sufyan
Department of Cardiology, Rehman College of Allied Health Sciences, Rehman Medical Institute, Peshawar, Pakistan
Nazish Habib
Department of Cardiology, Rehman College of Allied Health Sciences, Rehman Medical Institute, Peshawar, Pakistan
Hamza Zafar
Department of Anesthesiology, College of Medical Technologies, Bacha Khan Medical College, Mardan, Pakistan
https://orcid.org/0009-0008-2026-152X
Qazi Tufail Hassan
Department of Cardiology, College of Medical Technologies, Bacha Khan Medical College, Mardan, Pakistan
Muhammad Yahya
Department of Cardiology, College of Medical Technologies, Bacha Khan Medical College, Mardan, Pakistan

Abstract

Background: Coronary artery disease is a primary contributor to death rates in both developed and developing countries. Global disparities in CAD risk have been attributed to demographic mechanisms. An individual's lifestyle has been established as a significant determinant in the development of certain cardiac diseases. The early detection of electrical and mechanical complications following (CABG) and (PCI) is paramount, as it enables timely intervention and management, which can substantially enhance patient outcomes.
Objective: To determine the mechanical and electrical complications after coronary revascularization.
Methodology: A descriptive cross-sectional study was conducted at Rehman Medical Institute from August to October 2023. A convenient sample of 185 patients with electrical and mechanical complications was selected. Inclusion and exclusion criteria were applied based on age and complication status.
Results: Of 185, majority (47%) were over 60 years of age, and 60.5% were male. Revascularization procedures included (PCI) in 58.9% and (CABG) in 41.1%. Post-revascularization, 31.9% of participants exhibited an ejection fraction (EF) below 40%, and 46.5% showed abnormal ECG changes, with atrial fibrillation being the most common electrical disturbance (22.7%). Prominent complications following revascularization included atrial fibrillation (17.3%), mitral regurgitation (15.7%), and left ventricular dysfunction (14.1%).
Conclusion: This study revealed a higher incidence of mechanical than electrical complications following coronary revascularization. Atrial fibrillation and left ventricular dysfunction were prevalent. Many patients experienced reduced ejection fractions. The choice of revascularization method did not significantly affect complications, including routine monitoring, preventive measures, rehabilitation, and multidisciplinary care. Future research should investigate additional risk factors and long-term outcomes.

Article Details

How to Cite
Asim Rehman, Muhammad Sufyan, Nazish Habib, Zafar, H., Qazi Tufail Hassan, & Muhammad Yahya. (2024). Electrical and Mechanical Complications After Coronary Revascularization at the Cardiology Department in Rehman Medical Institute Hayatabad Peshawar, KPK, Pakistan: Complications After Coronary Revascularization. Journal of Health and Rehabilitation Research, 4(3), 1–5. https://doi.org/10.61919/jhrr.v4i3.1551
Issue
Vol. 4 No. 3 (2024): Volume 4, Issue 3 - July to September 2024
Section
Articles
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This work is licensed under a Creative Commons Attribution 4.0 International License.

Author Biography

Hamza Zafar, Department of Anesthesiology, College of Medical Technologies, Bacha Khan Medical College, Mardan, Pakistan

I am Hamza Zafar,completed  Bachelor's of Science in Anesthesia Technology and training at the prestigious Mardan Medical Complex in Mardan and now completed my internship at PAF and Aero Hospital . This journey has been nothing short of incredible, and I am thrilled to utilize the knowledge and skills I have gained to positively impact people's health and well-being. During my training, I have had the privilege of assisting and independently performing various anesthesia procedures, such as drug and infusion preparations, arterial lines, cannulation, spinal anesthesia, and intubations for diverse medical procedures. All these tasks were performed under the direct supervision of skilled Anesthesiologists.
Furthermore, I have accumulated approximately 2 years of valuable experience as a trainee in Gynae, ENT, Orthopedic, Emergency, Maxillofacial, and General Surgery, as well as in the recovery room and ICU. Additionally, I have actively engaged in professional development by participating as a speaker in a Difficult Airway Seminar and attending research seminars. I even had the opportunity to present our poster presentation at KMU and other regions.
To ensure the safety of patients, I have received specialized training and certificates in Basic Life Support (BLS), ACLS an Anesthesia for Cesarean Delivery. Throughout my academic journey, I immersed myself in the dynamic of scientific research. With unwavering passion and relentless dedication, I achieved numerous accolades and certificates, all while assuming the esteemed role of a speaker. During my practice, I consistently adhere to the highest ethical and legal standards defined by our code of conduct and ethics, guided by our vision and values. My interactions with patients, families, physicians, and colleagues are characterized by professionalism and respect.
I am immensely grateful for the unwavering support of my family and professors, who have been with me every step of the way. As I embark on this exciting new chapter in my career, I am eager to make a meaningful difference in the lives of others through my passion for anesthesia and dedication to patient care.

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