scholarly journals Revascularization Treatment of Emergency Patients with Acute ST-Segment Elevation Myocardial Infarction in Switzerland: Results from a Nationwide, Cross-Sectional Study in Switzerland for 2010-2011

PLoS ONE ◽  
2016 ◽  
Vol 11 (4) ◽  
pp. e0153326 ◽  
Author(s):  
Claudia Berlin ◽  
Peter Jüni ◽  
Olga Endrich ◽  
Marcel Zwahlen
Author(s):  
Nahid Salehi ◽  
Reza Heidari Moghadam ◽  
Alireza Rai ◽  
Nafiseh Montazeri ◽  
Javad Azimivghar ◽  
...  

Introduction: Acute myocardial infarction (AMI) is a leading cause of death and disability worldwide. Determining seasonal pattern of AMI may contribute to disease prevention and better treatment. Objective: The present study was conducted to investigate daily, monthly, and seasonal pattern for symptoms҆ onset in the patients with ST-segment elevation myocardial infarction (STEMI), and also other possible associated factors. Methods: This cross-sectional study was conducted on 777 patients diagnosed with STEMI admitted at the Imam Ali Cardiovascular Hospital affiliated with Kermanshah University of Medical Sciences (KUMS), Kermanshah province, Iran from March 2018 to February 2019. Data were collected using a checklist developed based on the study's objectives. Differences between subgroups were assessed using one-way analysis of variance (ANOVA) followed by Tukeys҆ post‐hoc test and Chi-Square test (or Fishers҆ exact test). Results: Out of 777 patients, 616 (79.3%) of them were male. Mean age of the patients was (mean±SD) equal to 60.93±12.86 years old. Occurrence of STEMI was most common in winter (38.4%), followed by autumn (27.8%), spring (22.9%), and summer (10.9%), respectively. Monthly occurrence of AMI was at the highest level in January (10.8%) and December (9.9%), and it was at the lowest level in July (4.9 %). Most patients were admitted on Fridays (15.8%) and Wednesdays (15.6%). Hypercholesterolemia, prior congestive heart failure (CHF), prior MI, prior stroke, prior atrial fibrillation (AF), low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglycerides, total cholesterol, creatine phosphokinase (CPK), and creatine kinase myocardial band (CK-MB) were significantly associated with seasonal pattern of STEMI (p-value<0.05). Conclusions: Results of the present study on Iranian patients with STEMI revealed that AMI occurred more frequently on Wednesdays and Fridays and during winter from December to January compared to the other days of the week, months, and seasons.


2021 ◽  
Vol 8 (5) ◽  
Author(s):  
Brazaitiene MA ◽  
◽  
Adomaitiene V ◽  
Gustiene O ◽  
◽  
...  

Background: For myocardial infarction survivors, long-term pharmacotherapy is an important element of a complex treatment and a better prognosis may be achieved through better medication adherence. Aim: The purpose of this study is to find out whether it is possible to predict medication adherence of the patients who survived myocardial infarction via assessing their personality. Design and Setting: Analytic cross-sectional study. Methods: The study was held in Hospital of Lithuanian University of Health Sciences Kaunas clinics (HLUHS KK) department of cardiology. Patients with ST-segment elevation myocardial infarction were randomly included and completed questionnaire before discharge from Cardiology unit. We recruited 198 patients with myocardial infarction who completed questionnaire (ICD-10 diagnoses I21.0, I21.1 or I21.2). Medical adherence association with personality was assessed with Morisky-Green medical adherence scale (MMAS-8) and the Big-Five inventory. Results: Medical adherence was associated with conscientiousness, agreeableness, neuroticism and extraversion. There was no significant association with openness to experiences. Neuroticism negatively affected medical adherence. It was determined, that conscientiousness, agreeableness and extraversion positively affected medical adherence. Conclusion: This study demonstrated that good medical adherence in patients with ST-segment elevation myocardial infarction was associated with higher scores in conscientiousness and agreeableness personality traits and lower scores in neuroticism.


2020 ◽  
Author(s):  
Kashif Ali Hashmi ◽  
Fahar Adnan ◽  
Atif Ali Hashmi ◽  
Javaria Parwez Ali ◽  
Muhammad Irfan ◽  
...  

Abstract Objectives: Revalidation of Killip class in our local population is mandatory. We planned this study to increase cardiologist readiness to tackle the risks associated with increased mortality in each class post ST elevation myocardial infarction (STEMI). Objectives were to determine frequency of Killip class I, II, III, IV and in-hospital mortality in each Killip class in patients with left ventricle failure secondary to STEMI.Results: This cross-sectional Study was conducted in Department of Cardiology, Jinnah Hospital. Patients with STEMI were stratified using Killip Class and validation was performed by determining the within 15 days in-hospital mortality in each Killip class. Patients with chronic disease were excluded. The frequency (percentage) of patients with STEMI in each killip class from I to IV was 395 (81.4%), 46 (9.5%), 27(5.6%) and 17(3.5%) respectively while in-hospital mortality came out to be, 39 (9.8%), 4 (8.6%), 25 (92.5%), and 17(100%), in Killip class I, II, III and IV respectively. Presence of diabetes, history of smoking and BMI more than 30kg/m2 were significant contributor to mortality along with higher Killip class and age of presentation. It is concluded that Killip class is a valid tool for risk stratification for patients after STEMI.


2012 ◽  
Vol 19 (04) ◽  
pp. 442-445
Author(s):  
HAROON AZIZ KHAN BABAR ◽  
ZAHID RAFIQUE BUTT ◽  
JAMIL AHMAD

Objective: To assess the frequency of hyperhomocysteinemia in patients of first attack of ST-segment elevated myocardialinfarction under age of 40 years. Design: Cross sectional study. Period: December 2009 to June 2010. Setting: Ch. Pervaiz Elahi Institute ofCardiology, Multan. Material and methods: A total of 65 patients of acute myocardial infarction were included in the study on the basis of chestpain, ECG changes and increased cardiac enzyme. Results: A total of 65 patients fulfilled the inclusion criteria were included the study. Meanage was 35.68 years. Out of the 65 patients, 87.7% were male and 12.3% were female, 41.5% patients has increased homocysteine level while68.5% had normal homocysteine level. Conclusions: Plasma Hcy is an important risk factor for the development of the acute myocardialinfarction.


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