scholarly journals Can Personality Traits be Related to Medical Adherence in Patients with Myocardial Infarction?

2021 ◽  
Vol 8 (5) ◽  
Author(s):  
Brazaitiene MA ◽  
◽  
Adomaitiene V ◽  
Gustiene O ◽  
◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Medication Adherence ◽  
Personality Traits ◽  
Cross Sectional Study ◽  
Medical Adherence ◽  
Cross Sectional ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment ◽  
Adherence Scale

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.

Daily, Monthly, and Seasonal Pattern of ST-Segment Elevation Myocardial Infarction (STEMI) Occurrence in Western Iran; a CrossSectional Study

2021 ◽  
Author(s):  
Nahid Salehi ◽  
Reza Heidari Moghadam ◽  
Alireza Rai ◽  
Nafiseh Montazeri ◽  
Javad Azimivghar ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Seasonal Pattern ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment

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.

scholarly journals Risk Assessment of Patients After ST-Segment Elevation Myocardial Infarction by Killip Classification: An Institutional Experience

2020 ◽  
Author(s):  
Kashif Ali Hashmi ◽  
Fahar Adnan ◽  
Atif Ali Hashmi ◽  
Javaria Parwez Ali ◽  
Muhammad Irfan ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Hospital Mortality ◽  
Local Population ◽  
Cross Sectional Study ◽  
Class I ◽  
Cross Sectional ◽  
Killip Class ◽  
St Segment Elevation ◽  
St Segment ◽  
Hospital Patients

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.

scholarly journals Age and gender differences in medical adherence after myocardial infarction: Women do not receive optimal treatment – The Netherlands claims database

2017 ◽  
Vol 25 (2) ◽  
pp. 181-189 ◽  
Author(s):  
Daniëlle C Eindhoven ◽  
Alexander D Hilt ◽  
Thomas C Zwaan ◽  
Martin J Schalij ◽  
C Jan Willem Borleffs
Keyword(s):  
Myocardial Infarction ◽  
Gender Differences ◽  
Medical Adherence ◽  
Age And Gender ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment ◽  
Age And Gender Differences ◽  
And Gender ◽  
One Year

Background Following myocardial infarction, medication is, besides lifestyle interventions, the cornerstone treatment to improve survival and minimize the occurrence of new cardiovascular events. Still, data on nationwide medication adherence are scarce. This study assesses medical adherence during one year following myocardial infarction, stratifying per type of infarct, age and gender. Design Retrospective cohort study. Methods In The Netherlands, all inhabitants are by law obliged to have health insurance and all claims data are centrally registered. In 2012 and 2013, all national diagnosis-codings of ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI) were acquired. Furthermore, information on retrieved medication was extracted from the Dutch Pharmacy Information System. Twelve months after discharge, the retrieved medication at the pharmacy of each pharmacological therapy (aspirin-species, P2Y12-inhibitor, statin, beta-blocker, angiotensin-converting enzyme-/angiotensin 2-inhibitor, vitamin-K antagonists or novel oral anticoagulant) were analysed. Results In total, 59,534 patients (67 ± 13 years, 39,545 (66%) male, 57% NSTEMI) were included, of whom 52,672 (88%) patients were analysed for one-year medical adherence. STEMI patients more often achieved optimal medical adherence than NSTEMI patients (60% vs. 40%, p ≤ 0.001). In both STEMI and NSTEMI, use of all five indicated drugs was higher in male patients compared with female (STEMI male 61% vs. female 57%, p ≤ 0.001; NSTEMI male 43% vs. female 37%, p ≤ 0.001. With increasing age, a gradual decrease was observed in the use of aspirin, P2Y12-inhibitors and statins. Conclusion Age and gender differences existed in medical adherence after myocardial infarction. Medical adherence was lower in women, young patients and elderly patients, specifically in NSTEMI patients.

scholarly journals PROFIL HEMATOLOGI PADA SINDROM KORONER AKUT

e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Albertus Benedictus Sirait
Keyword(s):  
Myocardial Infarction ◽  
Secondary Data ◽  
Cardiac Biomarkers ◽  
Medical Report ◽  
Cross Sectional ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment ◽  
Hematologic Profile ◽  
Normal Leukocyte

Abstract: One of cardiovascular disease is syndrome coronary acute. Syndrome coronary acute divided into three groups, they are unstable angina pectoris (UAP), non-ST segment elevation myocardial infarction (NSTEMI), ST segment elevation myocardial infarction (STEMI). Besides the changes of cardiac biomarkers profile, the patient's hematologic profile will also experience changes. This study's aim to determine hematologic profile of syndrome coronary acute and included the profiles of hemoglobin, leukocyte, thrombocyte, hemaocrit, MCV, MCH, and MCHC. The method of this study was analytic with cross-sectional approach and using secondary data, medical report. The samples were all patients that take hospitalization care in BLU RSUP Prof. Dr. R. D. Kandou Manado and diagnosed with syndrome coronary acute in January 2012 to December 2012. The result showed more patient likely to have lower hemoglobin, normal leukocyte, normal thrombocyte, lower hematocrit, normal MCV, MCH, and MCHC. Conclusion: There were changes on hematologic profile even though leukocyte and thrombocye profile more likely found normal. The changes of hematologic profile can be used as basic prognosis for the patients in the future. Keywords: Profile hematology, syndrome coronary acute.     Abstrak: Salah satu penyakit kardiovaskuler adalah sindrom koroner akut. Sindrom koroner akut dibagi menjadi tiga kelompok yaitu angina pektoris tidak stabil (UAP), infark miokard tanpa elevasi segmen ST (NSTEMI), dan infark miokard dengan elevasi segmen ST (STEMI). Selain terjadinya perubahan pada biomarker cedera jantung, profil hematologi pasien juga akan mengalami perubahan. Penelitian ini bertujuan untuk mengetahui profil hematologi pada sindrom koroner akut dan meliputi profil hemoglobin, leukosit, trombosit, hematokrit, MCV, MCH, dan MCHC. Penelitian ini menggunakan metode analitik dengan pendekatan cross-sectional dengan menggunakan data sekunder berupa rekam medis. Sampel dalam penelitian ini adalah semua pasien di BLU RSUP Prof. Dr. R. D. Kandou Manado yang dirawat inap dengan diagnosis sindrom koroner akut pada periode Januari 2012 sampai dengan Desember 2012. Hasil penelitian menunjukkan pasien cenderung lebih banyak pasien yang memiliki profil hemoglobin yang rendah, nilai leukosit yang normal, nilai trombosit normal, nilai hematokrit yang rendah, nilai MCV, MCH, dan MCHC yang normal. Kesimpulan: Terdapat perubahan pada profil hematologi meskipun pada profil leukosit dan trombosit cenderung lebih banyak pasien yang memiliki profil yang normal. Perubahan nilai profil hematologi pada pasien bisa dijadikan dasar prognosis bagi pasien kedepannya. Kata kunci: profil hematologi, sindrom koroner akut.

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