scholarly journals Impact of Gender on Clinical Characteristic, Treatment and Outcome in ST Elevation Myocardial Infarction: A Hospital Based Study from North-Eastern India

2021 ◽  
pp. 1-5
Author(s):  
Farhin Iqbal ◽  
Farhin Iqbal ◽  
Bornali Dutta ◽  
J.C. Barkataki ◽  
Waseem Farooqui ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Clinical Presentation ◽  
St Elevation Myocardial Infarction ◽  
Atypical Presentation ◽  
Eastern India ◽  
North Eastern ◽  
St Elevation ◽  
North Eastern India ◽  
Clinical Characteristic ◽  
High Bmi

Background: Data on impact of gender on clinical presentation of ST Elevation Myocardial Infarction (STEMI) are sparse in our country. Gender related difference in STEMI has never been studied in North-Eastern India. Aim: The present study was undertaken to study the impact of gender on clinical characteristic, treatment and outcome in STEMI. Methods: We prospectively collected data of 510 STEMI patients from February 2011 to August 2012 in Gauhati Medical College, a tertiary care center in North-Eastern India. We evaluated data on impact of gender in clinical characteristic, treatment, and outcome in STEMI patients. Results: A total of 510 cases of STEMI were included. Females in STEMI were older (53.6 years in males compared to 58 years in females, P<0.001) and have greater atypical presentation (31.6% in females and 13.98% in males, P<0.001). Females also have higher mean time to presentation and higher incidence of diabetes, dyslipidemia, hypertension and high BMI, whereas males had higher incidence of smoking. Females are less likely to undergo thrombolysis (28.73% in females compared to 44.34% in males, p=0.04) and revascularization (17.5% in males and 9.1% in females p-0.01) during index hospitalization, but standard medical therapy was similar. Women were also more likely to develop heart failure either at presentation or at 30 days and also had a higher 30-day mortality (15.5% in female and 9.8% in male, p value-0.06). Conclusion: This study represents the first reported study on impact of gender on clinical presentation of STEMI from North-Eastern India and has observed that females have a higher mean age of presentation, higher incidence of atypical presentation, diabetes, dyslipidemia, hypertension and high BMI. Females also present later than males, though statistically not significant and also less likely to receive thrombolysis and revascularization than males. The 30-day mortality was also higher in females.

scholarly journals Acute ST-Elevation Myocardial Infarction in Young in Shahid Gangalal National Heart Centre, Kathmandu, Nepal

2017 ◽  
Vol 6 (2) ◽  
pp. 27-31
Author(s):  
Chandra Mani Adhikari ◽  
Reeju Manandhar ◽  
Dipanker Prajapati ◽  
Murari Dhungana ◽  
Anish Hirachan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Ejection Fraction ◽  
Clinical Presentation ◽  
Young Patients ◽  
Tobacco Consumption ◽  
St Elevation Myocardial Infarction ◽  
Acute Stemi ◽  
St Elevation ◽  
Conventional Risk Factors

Background and Aims: Acute ST elevation myocardial infarction (STEMI) is often present in old populations. STEMI in young has significantly increased in recent years. We aim to study the conventional risk factors, clinical presentation, management and outcome of Acute STEMI in young patients.Methods: Medical records of all the young patients (aged less than 45 years), who were admitted in our hospital with the diagnosis of Acute STEMI and treated in between 1st July 2015 to 30th June 2016, were retrospectively reviewed. Demographics, conventional risk factors, clinical presentation, management and outcome were recorded.Results: There were total 1211 patients admitted for Acute STEMI, among them, 132(10.9%) were young patients, age ranged from 24 to 45 years with mean age 39.1±4.8 years, with 110 males. Anterior wall MI 50(37.8%) was the most common MI. Symptom onset to arrival to hospital ranged from 1 hour to 144 hours with mean of 19.4±2.4hours. Primary PCI was the mode of reperfusion in 59(44.6%) patients; thrombolysis was done in 19(14.3%) patients. The most common conventional risk factor was tobacco consumption; present in 91(68.9%) patients. Tobacco consumption was the only conventional risk factors in 27(20.4%) patients. There were four (4%) in-hospital mortality. Among the discharged patients all patients received Aspirin, Clopidogrel and Statin. Betablocker and Angiotensin converting enzyme inhibitor/Angiotensin receptor blocker were prescribed in 99(75%) and 96 (72.7%) patients respectively. Mean left ventricular ejection fraction was 45.5±8.6%, with 99(77.3%) having Ejection Fraction ≥40%.Conclusions: Acute STEMI in young was common in male. Tobacco consumption was significant riskfactor. Acute STEMI in young has good prognosis.Journal of Advances in Internal Medicine 2017;06(02):27-31.

scholarly journals COVID-19 impact on ST-elevation myocardial infarction incidence rate in a north-eastern Italian STEMI network

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Enrico Fabris ◽  
Riccardo Bessi ◽  
Annamaria De Bellis ◽  
Caterina Gregorio ◽  
Alberto Peratoner ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Incidence Rate ◽  
St Elevation Myocardial Infarction ◽  
North Eastern ◽  
St Elevation

scholarly journals Impact of COVID-2019 outbreak on prevalence, clinical presentation and outcomes of ST-elevation myocardial infarction

2020 ◽  
Vol 21 (11) ◽  
pp. 874-881
Author(s):  
Daniela Tomasoni ◽  
Marianna Adamo ◽  
Leonardo Italia ◽  
Luca Branca ◽  
Giuliano Chizzola ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Clinical Presentation ◽  
St Elevation Myocardial Infarction ◽  
St Elevation

scholarly journals Case report and systematic review of pulmonary embolism mimicking ST-elevation myocardial infarction

Vascular ◽  
2018 ◽  
Vol 27 (1) ◽  
pp. 90-97 ◽  
Author(s):  
Pedro A Villablanca ◽  
Peter P Vlismas ◽  
Tatsiana Aleksandrovich ◽  
Arthur Omondi ◽  
Tanush Gupta ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Pulmonary Embolism ◽  
Diagnostic Imaging ◽  
Right Ventricular ◽  
Clinical Presentation ◽  
St Elevation Myocardial Infarction ◽  
Common Location ◽  
St Segment ◽  
Right Ventricular Strain ◽  
St Elevation

Background To study trends in the clinical presentation, electrocardiograms, and diagnostic imaging in patients with pulmonary embolism presenting as ST segment elevation. Methods We performed a systematic literature search for all reported cases of pulmonary embolism mimicking ST-elevation myocardial infarction. Pre-specified data such as clinical presentation, electrocardiogram changes, transthoracic echocardiographic findings, cardiac biomarkers, diagnostic imaging, therapy, and outcomes were collected. Results We identified a total of 34 case reports. There were 23 males. Mean age of the population was 56.5 ± 15.5 years. Patients presented with dyspnea (76.4%), chest pain (63.6%), and tachycardia (71.4%). All patients presented with ST-elevations, with the most common location being in the anterior-septal distribution, lead V3 (74%), V2 (71%), V1 (62%) and V4 (47%). ST-segment elevations in the inferior distribution were present in lead II (12%), III (18%), and aVF (21%). Presentation was least likely in the lateral distribution. Troponin was elevated in 78.9% of cases. Right ventricular strain was the most common echocardiographic finding. Over 80% of patients had findings consistent with elevated right ventricular pressure, with 50% reported RV dilatation and 20% RV hypokinesis. The most commonly used imaging modality was contrast-enhanced pulmonary angiography. There was a greater incidence of bilateral compared to unilateral pulmonary emboli (72.4% vs. 10%). About 65% patients received anticoagulation and 36.3% were treated with thrombolytics. Forty-six percent of patients required intensive care and 18.7% intubation. Overall mortality was 25.8%. Conclusions A review of the literature reveals that in patients presenting with pulmonary embolism, electrocardiogram findings of ST-segment elevations will occur predominantly in the anterior-septal distribution.

scholarly journals Risk factors, clinical presentation, angiographic profile and 30-day outcomes of young patients (aged ≥35 years) with ST-elevation myocardial infarction

2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
AjayKumar Sharma ◽  
Vinod Kumar ◽  
Tarun Kumar ◽  
RanjitKumar Nath ◽  
LokeshKumar Sharma ◽  
...  
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Clinical Presentation ◽  
Young Patients ◽  
St Elevation Myocardial Infarction ◽  
St Elevation

ATYPICAL PRESENTATION OF NON-ST ELEVATION MYOCARDIAL INFARCTION IN A YOUNG BENGALI WOMAN

2019 ◽  
Vol 73 (9) ◽  
pp. 2913
Author(s):  
Talha Mehmood ◽  
Irsa Munir ◽  
Marie Eloise Pena-Teotico ◽  
Suzette Graham-Hill ◽  
Shafiq Rehman
Keyword(s):  
Myocardial Infarction ◽  
St Elevation Myocardial Infarction ◽  
Atypical Presentation ◽  
St Elevation
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