Circadian Variation in the Onset of Acute Myocardial Infarction: Lack of an Effect due to Age and Sex

1993 ◽  
Vol 21 (3) ◽  
pp. 158-160 ◽  
Author(s):  
M Gallerani ◽  
R Manfredini ◽  
L Ricci ◽  
C Goldoni ◽  
A Cocurullo ◽  
...  

The circadian patterns in the onset of symptoms of acute myocardial infarction were assessed in a prospective study involving 450 patients. Analysis of the data in the 424 patients in whom the time of onset was known did not show any statistically significant circadian rhythms, either for the group as a whole or for subgroups divided according to sex, age group (< 60, 60 − 69, 70 − 79 and ≥ 80 years old), or the presence or absence of diabetes mellitus. The frequency of onset of symptoms was highest in the morning (06.01 − 12.00 h) for the group as a whole (29.2%). Patients aged < 70 and ≥ 80 years old showed a peak in the morning, whereas patients aged 70 − 79 years old showed a peak in the afternoon (12.01 − 18.00 h).

2020 ◽  
pp. 1-3
Author(s):  
Prabhat Kumar Sinha ◽  
Kumari Suruchi ◽  
Pradeep Kumar Sharma ◽  
Debarshi Jana

To Study failure of thrombolysis with streptokinase in acute myocardial infarction using E.C.G criteria a prospective study of patients presenting with acute myocardial infarction in Department of Medicine, Darbhanga Medical College and Hospital, Laheriasarai, Bihar for a period of one year from December 2018 to November 2019. A total of 220 patients who presented with acute myocardial infarction were included in the study. Out of 220 patients 193(87.7%) males and 27 (12.3%) females participated in the study. All the patients underwent thrombolysis with streptokinase. Out of 220 patients who were being thrombolysed with streptokinase, most of them (97; 41.1%) were in the age group of 56-65 years. Out of all the patients who underwent thrombolysis (n=220), thrombolytic failure was observed in 121 (55%) patients. Failure rate was significantly higher in the age group of 56-65 years (88; 72.7%). Significantly higher prevalence of thrombolytic failure with streptokinase was observed among diabetic patients (65.2% ) as compared to non diabetics (52.3%).


2012 ◽  
Vol 11 (1) ◽  
pp. 45-48 ◽  
Author(s):  
S. Yu. Martsevich ◽  
M. L. Ginsburg ◽  
N. P. Kutishenko ◽  
A. D. Deev ◽  
A. V. Fokina ◽  
...  

Aim. To identify the main anamnestic predictors of mortality in the acute phase of acute myocardial infarction (AMI). Material and methods. The study included all patients admitted to Lyubertsy District hospitals and diagnosed with AMI (n=1133). Results. Out of 1133 hospitalised patients, 172 died in the hospital; in-hospital lethality was 15,2%. Mean age of diseased patients was significantly higher than that in those survived. The risk of in-hospital death was significantly and independently associated with older age (relative risk 1,07). After adjustment for age and sex, other independent predictors of in-hospital AMI death included diabetes mellitus (DM), low physical activity, and selected psychosocial factors. Conclusion. The in-hospital lethality levels, observed in the LIS Study, were typical for the Russian Federation. The main anamnestic predictors of in-hospital death were low physical activity, DM, and psychosocial risk factors.


Diabetes Care ◽  
2018 ◽  
Vol 41 (4) ◽  
pp. 847-853 ◽  
Author(s):  
Giancarlo Marenzi ◽  
Nicola Cosentino ◽  
Valentina Milazzo ◽  
Monica De Metrio ◽  
Milena Cecere ◽  
...  

1975 ◽  
Vol 3 (1) ◽  
pp. 65-67
Author(s):  
J. C. Clubb ◽  
G. M. Stathers

The results of a two-year prospective study of myocardial infarction in a rural city is reported. In the under 70 years age group there was a 10 per cent mortality of patients whilst being nursed in the coronary care area. Later deaths after transfer to the general wards raised the overall hospital mortality rate to 15 per cent. These figures compare favourably with other series.


Sign in / Sign up

Export Citation Format

Share Document