Clinical profile of patients presenting with acute myocardial infarction

Abstract

Background: Cardiovascular diseases are the number one cause of death globally. Cardiovascular diseases have emerged as a major health burden in developing countries. Myocardial infarction (MI) is defined by the demonstration of myocardial cell necrosis due to significant and sustained ischaemia. Author attempted to study the risk factors and clinical profile of patients with MI admitted in Cardiology Department of tertiary care center, Chitwan, Nepal.Methods: This descriptive retrospective study was conducted in College of Medical Sciences Teaching Hospital (CMS-TH), Chitwan, Nepal, from January 2016 to November 2017. Demographic features, cardiovascular risk factors, clinical presentation, Electrocardiogram (ECG) findings, regions of infarction and rhythm disturbances were studied and documented.Results: A total of 132 patients diagnosed with MI were studied. Most of the patients (90.15%) had ST-elevation MI (STEMI). The patients were predominantly male (87%). The majority of patients lied in the age group of 61-70 yrs (29.54%). The most common presenting symptom was chest pain (86.36%) followed by shortness of breath (42.42%) and vomiting (12.87%). Tobacco smoking/chewing (62.87%) was the major risk factor followed by hypertension (43.18%) and diabetes (34.09%). Majority of infarction occurred on anterior wall (52.94%). Most of the patients (90.90%) had normal sinus rhythm on ECG. On arrival to emergency department eight (6.06%) patients had cardiogenic shock and only one had congestive cardiac failure.Conclusions: STEMI was most common type of MI presenting to CMS-TH. Most of the patients were male and the most common risk factor contributing to MI was cigarette smoking. Most of the patients arrived more than 24 hours after onset of symptom.

Clinical Profile of Acute Myocardial Infarction at King Abdulaziz University Hospital in Jeddah, Saudi Arabia

“…Th e most common presenting symptom was chest pain, followed by shortness of breath. Th is fi nding is consistent with another study done in 2018, which also reported chest pain (86.36%) and shortness of breath (42.42%) to be the two most common symptoms in MI patients [29] . Seetharama et al [27] reported sweating with chest pain to be the most common symptom in their sample; the other common symptoms in their study were breathlessness, giddiness, palpitations, and vomiting.…”

Association Between Chocolate Consumption and Severity of First Infarction

“…Similarities were found in the literature regarding the profile of the interviewed population, with a higher prevalence of males in patients affected by AMI. [13][14][15][16][17] In addition, it was found that most of these patients had hypertension as a risk factor for the cardiovascular event [13][14][15][16] . Regarding smoking, less than half of the population interviewed had this addiction, as also found in other publications.…”

Clinical Profile and Risk Factors Associated with Acute Myocardial Infarction

“…The differences were statistically significant. In Adhikari et al 20 study most of the patients (90.15%) had STEMI. Our findings correlate well with those of the above authors.…”

“…Ambali et al 22 observed that a total of 60 (40%) patients had addictive habits, the most common habit noted was smoking and was present in 29 (19.3%) patients, followed by tobacco chewing in 18 (12%) patients. Adhikari et al 20 observed tobacco smoking/chewing (62.87%) as a major risk factor contributing to myocardial infarction. Hypertension (43.18%) was the second most common risk factor followed by diabetes mellitus (34.09%) and dyslipidaemia (21.21%).…”

“…Bhatia LC et al19 study also comprised of total 200 cases of acute myocardial infarction. Adhikari et al20 in a similar study had 132 patients diagnosed with myocardial infarction.…”