Demographic Features and Frequency of Risk Factors Among the Patients Suffering from Acute ST Elevation Myocardial Infarction (2025)

A study of clinical profile of acute ST elevation myocardial infarction patients from GMERS Medical College and Hospital, Gandhinagar, Gujarat

International Journal of Advances in Medicine, 2014

Coronary Artery Disease (CAD) is the leading cause of mortality and morbidity in the world. CHD affects Indians with greater frequency. The mean age of ACS presentation in India was estimated to be 57.5 years 1 which is 7-11 years younger than reports from Western literature. 2 Coronary Heart Disease (CHD) is the leading cause of death in India thereby having a greater economic impact on low-and middle-income countries like us. Effective screening, evaluation, and management strategies for CHD are well established in high-income countries, but these strategies have not been fully implemented in India. CHD prevalence appears to be worsening in India. In developing countries, rates are predicted to increase by 120% in women and 137% in men from 1990 to 2020. 3 Commonest among all ACS pts is acute ST elevation myocardial infarction in India. 1 Major risk factors for acute ST elevation MI are smoking ABSTRACT Background: Acute myocardial infarction is the most common and potentially life-threatening cardiac emergency presenting to a hospital. Having significant mortality and morbidity, the emergency requires early recognition, efficient triage and prompt therapeutic, interventions for maximum benefit. The objective was to study the age & sex distribution, clinical features, risk factors, ECG findings, complications, outcome of pts admitted with acute ST elevation myocardial infarction pts admitted in GMERS medical college and hospital, Gandhinagar, Gujarat. Methods: This is a retrospective study of all new patients managed for acute ST elevation myocardial infarction in the I.C.C.U. of GMERS medical college and hospital, Gandhinagar, Gujarat from January1 2012 to December 31, 2013. Results: Acute ST elevation myocardial infarction was more common in males (71.7%). Male to female ratio was 3.6:1. Mean age was 55.72 years & most pts were in age group of 51-60. most common clinical feature was chest pain (96.9%). Most of the pts (22.8%) presented in the hospital after onset of chest pain in 0>6 hrs duration. Most pts were having anterior wall infarction (47.5%). Most common risk factor was smoking or any form of tobacco consumption (28.3%). Most common complication was congestive cardiac failure (42.9%). In hospital mortality was 13.2%. Conclusion: Acute ST elevation myocardial infarction was having male predominance with anterior wall myocardial infarction most common and most common risk factor was smoking and most common complication was congestive cardiac failure.

ST Elevation Myocardial Infarction: An Experience at Lady Reading Hospital Peshawar, Pakistan

Khyber Medical University Journal, 2017

ABSTRACTOBJECTIVE: To find out the clinical characteristics, treatment offered and outcome of patients with ST elevation myocardial infarction (STEMI) admitted to cardiology unit Lady Reading Hospital (LRH), Peshawar, Pakistan.METHODS: This retrospective observational study was conducted in Cardiology Unit, LRH, Peshawar, Pakistan by analyzing record of all diagnosed STEMI patients of age >18 years, from 1st January to 31 December 2013.RESULTS: Total number of patients admitted with STEMI were 1733 (46.02% of total coronary artery disease admission). Of all these patients with STEMI, fibrinolytic therapy with streptokinase were given to 1380 (79.6%) patients, while 343 (19.8%) were late for fibrinolytic therapy or having some contraindication to fibrinolytic therapy. Ninety four (5.4%) patients received primary or rescue percutaneous coronary intervention (PCI). Out of 1733 patients, males were 1085 (62.60%), female were 648 (37.40%), mean age was 57.42±8.7 years, diabetes was fo...

Prevalence of Conventional Risk Factors in ST Segment Elevation Myocardial Infarction Patients in Shahid Gangalal National Heart Centre, Nepal

Journal of Nepal Medical Association

Introduction: Smoking, diabetes mellitus, hypertension, and dyslipidemia are labelled as conventional risk factors for coronary artery disease. Prevalence of these risk factors varies across populations. This study aimed to assess the prevalence of these conventional risk factors in patients, who were discharged from our hospital, with the diagnosis of ST elevation myocardial infarction. Methods: Medical records of 495 ST elevation myocardial infarction patients discharged from our centre in between January 2012 to December 2012 were retrospectively reviewed to evaluate the prevalence of conventional risk factors. Results: Clear dominance (75%) of male patients was seen. Inferior wall myocardial infarction (29.9%) was the most common diagnosis followed by anterior wall myocardial infarction (25.1%). Hypertension (65%), smoking (57.8%) and dyslipidemia (45.5%) were the most common risk factors. Diabetes (31.1%) was the least common. Prevalence of hypertension, dyslipidemia was simila...

Clinical profile of acute myocardial infarction patients: a study in tertiary care centre

International Journal of Research in Medical Sciences, 2015

In 2003, the prevalence of CHD in India was estimated to be 3-4 per cent in rural areas (two-fold higher compared with 40 year ago), and 8-10 per cent in urban areas (six-ABSTRACT Background: Coronary Artery Disease (CAD) remains the major cause of mortality and morbidity of mankind. Even though lot of advances are made in diagnosis, management and prevention of the disease. Coronary Artery Disease (CAD) is the leading cause of death in the United States, affecting over 5 million Americans. It is the most common cause of death in most western countries. Methods: This study was carried out in Intensive Coronary Care Unit (ICCU) of McGann hospital, Shimoga. The material of study consisted of 100 consecutive patients of Acute Myocardial Infarction (AMI) admitted to ICCU of McGann hospital from January 2014 to November 2014. Only patients who satisfied World Health Organization (WHO) definition for the diagnosis of AMI were selected for the study. Results: The age of patients in this study ranged from 24 years to 85 years. Mean age 52.91 ± 13.19 years. Out of 100 cases, 82 were males and 18 were female. The male to female ratio was 4.5:1. Among the 100 patients studied, 92 patients (92%) had atleast on of the risk factors mentioned above and 46 patients (46%) had more than one risk factors. 45 of the 96 patients (46.88%) percentage to the hospital within 6 hours of onset of chest pain. The pulse rate was within normal limits in 65 patients (65%). 26 patients (26%) had tachycardia at time of presentation and 9 patients (9%) had bradycardia. In 29 patients (29%) blood pressure was more than 140/90 mmHg and 15 patients (15%) had hypotension at time of presentation. In remaining 56 patients (56%) blood pressure was within normal limits. JVP was elevated in 6 patients (6%). 4 patients (4%) were in cardiogenic shock at the time of presentation and 13 patients (13%) were in left ventricular failure. Conclusion: There is need for early detection of risk factor to prevent the progression of coronary heart disease, need for creating awareness in the community regarding risk factors, symptoms and signs of acute myocardial infarction so that early referral can be done to coronary care unit to prevent morbidity and mortality in the community.

Clinical profile of ST-elevation myocardial infarction patients from a tertiary care hospital in Northern India

International Journal of Advances in Medicine, 2021

Background: Our aim was to the study clinical and epidemiological profile of patients presenting with ST-elevation myocardial infarction (STEMI).Methods: We did a single centre cross-sectional observational study of 200 patients presented with STEMI to a tertiary referral centre in Northern India from January 2016 to November 2017. All patients above 18 years of age admitted with diagnosis of STEMI were included in the study.Results: The mean age of study population was 55.75±12.5. The most common chief compliant was chest pain (95.1%). The anterior wall myocardial infarction (AWMI) accounted for 60.5% of all STEMI patients. The median duration from onset of symptoms to presentation to hospital was 7.93±6.58 hours. Cardiogenic shock was observed in 10.5% patients. Most common risk factor noted was smoking (63%). Mean left ventricular ejection fraction (LVEF) was less in AWMI (47±9.09) as compared to inferior wall myocardial infarction (IWMI) (50.72±7.14) (p<0.05). Among 200 cases...

A Study of Clinical Profile and Complications In Patients with ST-Elevation Myocardial Infarction Attending In College of Medical Sciences Teaching Hospital, Bharatpur (Chitwan), Nepal

2021

Background Coronary Artery Disease (CAD) is the common heart disease in Nepal with prevalence of 5.7%. 1 Myocardial infarction was more common in older population, however its incidence in young has been increasing. 2 Early detection and creating awareness regarding risk factors help to prevent mortality and morbidity. 3 The introduction of coronary care units decreased Acute Myocardial Infarction (AMI) mortality from 30% to 15%, 4 while with broad application of reperfusion therapy for ST-Elevation Myocardial Infarction (STEMI) 30 day mortality rates have progressively declined to less than 5%. 5 The mortality due to STEMI in the developing countries like Nepal is still high due to poor access

Risk factors for ST- Elevation Myocardial Infarction in a tertiary hospital in central Nepal

Journal of College of Medical Sciences-Nepal

aged, smoking, diabetes, dyslipidemia and family history. Through coronary angiography, the infarct related artery can be identified and depending upon the lesion in other vessels, the classification into single, double and triple vessel disease can be defined. The study aims to identify different presenting complains and risk factors among the patients visiting the cardiology department of

Clinical, E.C.G. And Echocardiographic Profile of Patients Presenting with Acute ST Elevation Myocardial Infarction (Stemi) in a Tertiary Care Institute at Tamilnadu, South India

Journal of Evidence Based Medicine and Healthcare, 2018

BACKGROUND Coronary Artery Disease (CAD) is the leading cause of morbidity and mortality worldwide. The prevalence of CAD and the incidence of Acute Coronary Syndrome (ACS) are very high among Indians. ST Elevation Myocardial Infarction (STEMI) is one of the major presentations of Acute Coronary Syndrome. The data regarding the clinical presentations of STEMI is still lacking in the majority rural population of INDIA. MATERIALS AND METHODS All patients who were admitted with features of Acute ST Elevation myocardial infarction (STEMI) from 1 st January to 30 th September 2018 were included and analysed retrospectively in this study. The demographic features, Cardiovascular risk factors, Clinical presentation, Serial E.C.G findings & the 2-D Echocardiographic features were analysed and correlated with the clinical and E.C.G findings. RESULTS Out of 236 patients admitted with features of Acute STEMI 184 (77.97%) patients were male and 52(22.03%) were female. The commonly affected age group was 40-60years of age (51.27%). The female patients with STEMI increased with advancing age. Type II diabetes mellitus was the most common modifiable risk factor (36.01%). Smoking (9.75%) and alcoholism (7.63%) contributed as significant risk factors for male. Chest pain was the most common presenting symptom (72.88%). Majority of patients 98(41.53%) presented between 12-24hours after the onset of chest pain. AWMI (51.27%) was more common than IWMI (46.19%). RV infarction occurred in 33% of patients with Acute IWMI. There were more patients with LVEF <40% in AWMI group (64.46%) and in non-thrombolysed patients (66.67%). CONCLUSION Most of the patients with STEMI were male in the 40-60years of age. There were more female patients with STEMI with advancing age (>65years). Diabetes mellitus and systemic hypertension were the most common risk factors for STEMI. AWMI was more common than IWMI. 33% of patients with IWMI had RVMI. LV dysfunction with LVEF < 40% was more common in AWMI and in non-thrombolysed patients. The mortality is high among elderly female with multiple risk factors and more extensive STEMI.

Risk Factors Leading to ST Elevation Myocardial Infarction in Young Patients Presenting to a Tertiary Care Hospital, Islamabad Pakistan

Pakistan Journal of Medical and Health Sciences

Objective: To determine the risk factors leading to ST Elevation Myocardial infarction in young patients presenting to a tertiary care hospital,Islamabad Pakistan Methodology: Prospective observational study was conducted at Pakistan Institute of Medical Sciences, Cardiology department, Islamabad, Pakistan for duration of 10 months. Study was conducted on sample size of 164 selected through non-probability consecutive sampling technique. Study included participants with age less than or equals to 45 and participants from both genders.However, participants with Age more than 45and those having non ST myocardial infarction were excluded. findings including Blood pressure, pulse, respiratory rate, cyanosis, S3, Killip class and JVP were noted. Data was entered and analyzed using statistical package for social sciences (SPSS). P value of &lt; 0.05 was considered as significant. Results: Mean age of participant was found to be 25.3±4.3, mean BMI was found to be 25.8 ±0.81. Mean HB level ...

Modifiable Risk Factors in Diagnosed Cases of Acute ST Elevation Myocardial Infarction in Young Patients Presenting at Tertiary Care Hospital in Peshawar

Pakistan Heart Journal, 2023

Objectives: The objective of this study was to determine the frequency of modifiable risk factors in young patients diagnosed with acute ST elevation myocardial infarction (STEMI). Methodology: A cross-sectional study was conducted at the cardiology department of Lady Reading Hospital, Peshawar. A total of 236 patients presented with acute STEMI, between 18 to 50 years of age of either gender were included. All the included patients were subjected to detailed history and clinical examination and modifiable risk factors were observed. Results: Out of 236 patients, 42 (18%) patients were in age range 18-30 years and 194 (82%) patients were in age range 31-50 years. Mean age was 42±9.77 years, 156 (66%) patients were male. In total, 90 (38%) patients had sedentary lifestyle, 45 (19%) patients had positive history of atrial fibrillation. More over 92 (39%) patients were diabetic, 153 (65%) patients were hypertensive, 99 (42%) patients were smokers, 73 (31%) patients had dyslipidaemia, and 64 (27%) patients were obese. Conclusion: It has been observed that modifiable risk factors were prevalent in a vast majority of the young patients presenting with acute STEMI. Among these, sedentary lifestyle, smoking, obesity, and metabolic risk factors such as diabetes and dyslipidaemia need immediate attention.