Evaluation of risk factors in acute myocardial infarction patients admitted to the coronary care unit, Tripoli Medical Centre, Libya

Abduelkarem, Abduelmula R.; El-Shareif, Hawa Juma; Sharif, Suleiman I.

doi:10.26719/2012.18.4.332

Cited by 15 publications

(17 citation statements)

References 23 publications

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“…[23] Among the presenting symptoms chest pain was frequently reported by MI patients admitted at Prince Mitab hospital being present in 90.2% cases, followed by nausea and vomiting in 18.3% of cases, current results run in conformity with a study conducted by A. R. Abdulkarem et al who showed chest pain in 89.7% cases of MI as the leading presenting symptom. [27] Study observed a mortality rate of 3.7% among MI patients over the three year period.…”

Section: Discussionmentioning

confidence: 99%

A Descriptive Study on Risk Factors among Acute Myocardial Infarction Patients Admitted to the Coronary Care Unit of Prince Mitab Hospital Sakaka Aljouf

Albalawi¹,

Aleneze²,

Alanazi³

et al. 2017

NJRCM

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Introduction and objectives: Worldwide, acute myocardial infarction (MI) continues to be the leading cause of morbidity for hospital admissions. The current study was carried out with an objective to study the clinical, demographic and risk factors associated with MI patients admitted to cardiac care unit of Prince Mitab hospital. Methods: This descriptive study captured three-year retrospective data on patients admitted to cardiac care unit (CCU) from the medical records section of Prince Mitab hospital. Thirty percent of acute MI case files of each year from Jan-2013 to Dec-2015 were reviewed. Data was collected on demographic, disease risk factors (smoking, diabetes, and hypertension), and clinical presentation. Descriptive statistics was performed .Results: Of 1428 patients admitted to CCU, 270 had MI (19%). Number of admissions to cardiac care unit has risen from 372 patients in year 2013 to 533 patients in year 2015. Males (86%) outnumbered female patients with MI in all three years of study period (ᵡ

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Section: Discussionmentioning

confidence: 99%

A Descriptive Study on Risk Factors among Acute Myocardial Infarction Patients Admitted to the Coronary Care Unit of Prince Mitab Hospital Sakaka Aljouf

Albalawi¹,

Aleneze²,

Alanazi³

et al. 2017

NJRCM

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“…Diabetes is a major independent predictor of morbidity and mortality in acute MI. 17,18 Smoking was the second risk factor among male patient (51.2%), but all the female patients sample were not smoker, this because, the smoking is not an habit among females in most of Arabian and Islamic countries. Smoking appeared to be the second most common risk of AMI.…”

Section: Discussionmentioning

confidence: 99%

“…A study, conducted in Punjab institute of cardiology, showed that smoking was the most prevalent (63.4%) risk factor in young coronary artery disease patients. 20 Abduelkarem et al 18 reported that smoking was an important risk factor among Libyan male acute myocardial infarction patients.…”

Section: Discussionmentioning

confidence: 99%

Acute Myocardial Infarction Risk Factors and Correlation of its Markers with Serum Lipids

Azab

Elsayed

2017

JABB

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Myocardial infarction is a term applied to myocardial necrosis secondary to an acute interruption of the coronary blood supply. Atherosclerosis is by far the most common cause of myocardial infarction. According to the INTERHEART study report, nine factors are responsible for 90% of myocardial infarctions. Modifiable risk factors include Diabetes mellitus, smoking, hypertension, hyperlipidemia, sedentary life style, obesity, stress and depression. The combination of several risk factors further enhances the risk. This study aimed to evaluate the frequency of risk factors among AMI patients in Tajoura National Heart Center, Libya, and to detect the presence of correlation between AMI markers and serum lipids. This study was conducted from September, 2007 to April, 2008. On 120 acute myocardial infarction patients, 86 males and 34 females, and the results were compared to the results of 40 healthy persons (20 male and 20 female) with matched ages with the patients. The results of this study concluded that, ages of most male patients were from 45-65 years old, but most of female ages from 55-75 years old which means that, the incidence of AMI was occurred in males earlier than females. The most prevalent risk factor in male and female patients is diabetes. Smoking is the second risk factor in males, and hypertriglyceridemia was the second risk factor among female patients. The study was also showed correlation between total CK and CK-MB and total cholesterol concentration, but this was not found between LDH, TN-t and cholesterol, on the other hand, LDH was correlated with HDLC. Some disease factors contribute to the risk of myocardial infarction and they include diabetes mellitus (type 1 or 2), high blood pressure, dyslipidemia/hypercholesterolemia, particularly high amount of lowdensity lipoprotein, low amount of high density lipoprotein, high triglycerides, and obesity. 2,8 Atherosclerosis is by far the most common cause of myocardial infarction. According to the INTERHEART study report, nine factors are responsible for 90% of myocardial infarctions. Modifiable risk factors include Diabetes mellitus, smoking, hypertension, hyperlipidemia, sedentary life style, obesity, stress and depression. The combination of several risk factors further enhances the risk. Treatment of hypertension and dyslipidemia causes reduction in risk of myocardial infarction. As there is variability in the prevalence of risk factors in different populations, a highly potent factor in one country could be less important in another one. Keywords9 According to the study from west Sweden, acute myocardial infarction (AMI) among women is commonly affected by multiple risk factors. Hence, women more commonly have diabetes and arterial hypertension, while cigarette smoking is the only factor of lower frequency. On the other side, men have 3-6 times higher risk of developing disease compared to women, since women develop disease approximately ten years later. The risk of developing diseases is increased with aging.10 Diabetes increases the...

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“…Akibatnya kerja jantung bertambah, sehingga ventrikel kiri hipertrofi untuk meningkatkan kekuatan pompa.Atrial fibrilasi juga merupakan kondisi yang sering dijumpai pada hipertensi baik di Eropa maupun di Amerika . (1, 3,7) Berdasarkan tingginya angka kejadian dan banyaknya komplikasi dari penyakit hipertensi membuat penulis tertarik untuk mengangkat judul "Karakteristik Gambaran EKG pada pasien Hipertensi di Rumah Sakit Ibnu Sina Makassar Periode Januari-Juni 2017". sebanyak 10 orang (16,67%).…”

Section: %) Conclusion: Rhythmic Characteristics Of Ecg Of Hypertunclassified

Karakteristik Gambaran EKG Pasien Hipertensi Di Rumah Sakit Ibnu Sina Makassar Periode Januari-Juni 2017

Hasari

2019

UMJ

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Latar belakang : Hipertensi merupakan suatu keadaan meningkatnya tekanan darah sistolik lebih dari sama dengan 140 mmHg dan diastolik lebih dari sama dengan 90 mmHg setelah dua kali pengukuran terpisah. Hipertensi dapat mengakibatkan perubahan pada anatomi dan atau fungsi jantung yang dapat menyebabkan morbiditas dan atau mortalitas. Perubahan itu sendiri dapat dideteksi dengan elektrokardiografi (EKG).Tujuan : Penelitian ini bertujuan untuk mengetahui karakteristik gambaran EKG Pasien Hipertensi di Rumah Sakit Ibnu Sina Makassar.Metode : Penelitian ini menggunakan studi deskriptif untuk mengetahui Karakteristik gambaran EKG pada pasien hipertensi di Rumah Sakit Ibnu Sina periode Januari-Juni 2017. Penelitian dilaksanakan pada tanggal 14 September sampai dengan 10 November 2018. Sampel dalam penelitian ini adalah semua pasien hipertensi yang masuk di Rumah Sakit Ibnu Sina mulai tanggal 1 Januari 2017 sampai 30 Juni 2017 yaitu sebanyak 60 orang yang memenuhi kriteria inklusi dan eksklusi. Teknik sampling yang digunakan adalah total sampling. Karakteristik gambaran EKG Pasien Hipertensi di Rumah Sakit Ibnu Sina di olah dengan program microsoft office excel 2010. Hasil : Dari 60 subjek penelitian didapatkan pasien hipertensi yang memiliki kelainan irama pada EKG nya berupa Sinus Sinus takikardi yaitu sebanyak 2 Orang(3,33%), Sinus Bradikardi yaitu sebanyak 3 orang (5%), yang memiliki Atrial Fibrilasi sebanyak 2 orang (3.33%), dan pasien yang tidak memiliki kelainan irama sebanyak 53 orang (83,33%). Karakteristik gelombang P pada EKG pasien hipertensi yang termasuk dalam kategori normal yaitu sebanyak 55 orang (91,67%), dan pasien dengan gelombang P melebar sebanyak 5 orang (8,33%).Karakteristik interval PR pada EKG pasien hipertensi yang termasuk dalam kategori normal yaitu sebanyak 59 orang (98,33%), dan pasien dengan interval PR memanjang sebanyak 1 orang (1,67%). Karakteristik kompleks QRS untuk menentukan derajat LVH menurut teori Sokolow-Lyon yang termasuk dalam kategori normal yaitu sebanyak 57 orang (95%), dan pasien dengan gambaran LVH sebanyak 3 orang (5%). Sedangkan menurut teori Romhilt pada EKG pasien hipertensi yang termasuk dalam kategori normal yaitu sebanyak 57 orang (95%), dan pasien dengan gambaran LVH sebanyak 3 orang (5%). Sedangkan LVH menurut teori Cornell pada EKG pada pasien hipertensi yang termasuk dalam kategori normal yaitu sebanyak 59 orang (98,33%), dan pasien dengan gambaran LVH sebanyak 1 orang (1,67%). Karakteristik segmen ST pada EKG pasien hipertensi yang termasuk dalam kategori normal yaitu sebanyak 47 orang (78,33%). Untuk pasien dengan Segmen ST Elevasi sebanyak 10 orang (16,67%); dan untuk pasien dengan Segmen ST Depresi sebanyak 3 orang (5%). Karakteristik gelombang T pada EKG pasien hipertensi yang dalam kategori normal yaitu sebanyak 44 orang (73,33%), pasien dengan gelombang T inferted sebanyak 15 orang (25%), dan untuk pasien dengan gelombang T tinggi sebanyak 1 orang (1,67%).Karakteristik gelombang U pada EKG nya yaitu sebanyak 0 orang (0%), dan pasien yang tidak memiliki gelombang U sebanyak 60 orang (100%). Kesimpulan : Karakterisktik Irama pada EKG pasien Hipertensi di Rumah Sakit Ibnu Sina Makassar periode Januari-Juni tahun 2017 yaitu terdapat pasien hipertensi dengan Sinus takikardi yaitu sebanyak 2 Orang, Sinus Bradikardi yaitu sebanyak 3 orang, dan yang memiliki Irama Atrial Fibrilasi sebanyak 2 orang. Karakterisktik Gelombang P pada EKG pasien hipertensi di Rumah Sakit Ibnu Sina Makassar dari bulan januari sampai bulan Juni 2017 yaitu terdapat pasien dengan gelombang P melebar sebanyak 5 orang. Karakterisktik Interval PR pada EKG pasien Hipertensi di Rumah Sakit Ibnu Sina Makassar periode Januari-Juni tahun 2017 yaitu terdapat pasien dengan interval PR memanjang sebanyak 1 orang. Karakterisktik kompleks QRS pada EKG pasien Hipertensi di Rumah Sakit Ibnu Sina Makassar periode Januari-Juni tahun 2017 dengan melihat kriteria LVH dimana didapatkan pasien Hipertesi dengan LVH menurut kriteria LVH Sokolow-Lyon sebanyak 3 orang, menurut kriteria Romhilt-Estes yaitu sebanyak 3 orang, dan menurut teori Cornell sebanyak 1 orang. Karakterisktik Segmen ST pada EKG pasien Hipertensi di Rumah Sakit Ibnu Sina Makassar periode Januari-Juni tahun 2017 yaitu pasien dengan Segmen ST Elevasi sebanyak 10 orang dan dengan Segmen ST Depresi sebanyak 3 orang. Karakterisktik Gelombang T pada EKG pasien Hipertensi di Rumah Sakit Ibnu Sina Makassar periode Januari-Juni tahun 2017 yaitu pasien dengan gelombang T inferted sebanyak 15 orang. Dan untuk pasien dengan gelombang T tinggi sebanyak 1 orang . Karakterisktik Gelombang U pada EKG pasien Hipertensi di Rumah Sakit Ibnu Sina Makassar periode Januari-Juni tahun 2017 yaitu pasien tidak memiliki gelombang U pada gambaran EKG nya sebanyak 60 orang.

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Evaluation of risk factors in acute myocardial infarction patients admitted to the coronary care unit, Tripoli Medical Centre, Libya

Cited by 15 publications

References 23 publications

A Descriptive Study on Risk Factors among Acute Myocardial Infarction Patients Admitted to the Coronary Care Unit of Prince Mitab Hospital Sakaka Aljouf

A Descriptive Study on Risk Factors among Acute Myocardial Infarction Patients Admitted to the Coronary Care Unit of Prince Mitab Hospital Sakaka Aljouf

Acute Myocardial Infarction Risk Factors and Correlation of its Markers with Serum Lipids

Karakteristik Gambaran EKG Pasien Hipertensi Di Rumah Sakit Ibnu Sina Makassar Periode Januari-Juni 2017

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