scholarly journals GAMBARAN PASIEN INFARK MIOKARD DENGAN ELEVASI ST (STEMI) YANG DIRAWAT DI BLU RSUP PROF. DR. R. D. KANDOU MANADO PERIODE JANUARI 2010 SAMPAI DESEMBER 2010

e-CliniC ◽  
2013 ◽  
Vol 1 (3) ◽  
Author(s):  
Edward August Wagyu
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Developing Countries ◽  
Risk Factor ◽  
Medical Records ◽  
Descriptive Study ◽  
Skin Tumor ◽  
St Elevation Myocardial Infarction ◽  
Age Group ◽  
St Elevation

Abstract :Introduction : ST Elevation Myocardial Infarction disease is the leading cause of death in some advance and developing countries. This disease caused by several risk factor, including unhealthy life style, have diabetic history before, uncontrol hypertension, ages, genders and stress.Objective: This study aims to determine how the image of patients with ST elevation myocardial infarction (STEMI) who were treated in the department of Prof.. DR. R.D. Kandou Manado for 1 year (1st January 2010 - 31st December 2010). A descriptive study of benign skin tumor of the medical records of new patients based on gender, age, location of the occurrence of myocardial infarction, myocardial infarction risk factors, onset of an attack, myocardial infarction complications occurring levels and TIMI risk stratification based on TIMI Risk Score.Results: There were 83 patients of ST Elevation Myocardial Infarction in this hospital. Highest age group is 60-69 years. This disease was almost found in men patients than women. Most risk factor was found in this study is uncontrolled hypertension.Conclusion: ST Elevation Myocardial Infarction is the most dangerous diseases in world that found in Heart and Cardiovascular department Dr Prof Dr. R. D. Kandou Manado. Highest age group is 60-69 years. ST Elevation Myocardial Infarction was more common in men. Most risk factor for this disease is uncontrol hypertension.Keyword: ST Elevation Myocardial Infarction disease, HeartAbstrak :Pendahuluan : ST Elevation Myocardial Infarction penyakit adalah penyebab utama kematian di beberapa muka dan negara-negara berkembang . Penyakit ini disebabkan oleh beberapa faktor risiko , termasuk gaya hidup yang tidak sehat , memiliki sejarah diabetes sebelumnya , hipertensi terkendali , usia , jenis kelamin dan stres Tujuan: Penelitian ini bertujuan untuk mengetahui bagaimana gambaran pasien dengan ST elevasi miokard infark ( STEMI ) yang dirawat di departemen Prof . DR . RD Kandou Manado selama 1 tahun ( 1 Januari 2010 - 31 Desember 2010) .Sebuah penelitian deskritif dari rekam medis pasien baru berdasarkan jenis kelamin, usia , lokasi terjadinya infark miokard , faktor risiko infark miokard , timbulnya serangan , komplikasi infark miokard terjadi tingkat dan TIMI stratifikasi risiko berdasarkan TIMI Skor Risiko.Hasil: Ada 83 pasien dari ST Elevation Myocardial Infarction di rumah sakit ini . Kelompok umur tertinggi adalah 60-69 tahun . Penyakit ini hampir ditemukan pada pria daripada wanita pasien . Kebanyakan faktor risiko ditemukan dalam penelitian ini adalah hipertensi yang tidak terkontrol .Kesimpulan : ST Elevation Myocardial Infarction adalah penyakit yang paling berbahaya di dunia yang ditemukan di Jantung dan Kardiovaskular departemen Dr Prof Dr RD Kandou Manado . Kelompok umur tertinggi adalah 60-69 tahun . ST Elevation Myocardial Infarction lebih sering terjadi pada pria . Kebanyakan faktor risiko untuk penyakit ini adalah hipertensi terkendali .Kata kunci : Penyakit Infark Miokard dengan Elevasi segmen ST, Jantung

scholarly journals Stroke Complicating Acute ST Elevation Myocardial Infarction—Current Concepts

2019 ◽  
Vol 28 (04) ◽  
pp. 226-230
Author(s):  
Monika Bhandari ◽  
Pravesh Vishwakarma ◽  
Rishi Sethi ◽  
Akshyaya Pradhan
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Developing Countries ◽  
St Elevation Myocardial Infarction ◽  
Incidence Risk ◽  
Acute Mi ◽  
Causes Of Mortality ◽  
St Elevation ◽  
Improvement In Survival

AbstractMyocardial infarction (MI) is one of the leading causes of mortality today both in developed and developing countries alike. Advancement in the pharmacotherapy and revascularization techniques has resulted in drastic improvement in survival. Most of the complications of MI can be managed adequately resulting in reduced mortality from MI in the recent years. However, mortality from stroke following acute MI remains high even today. Here, we discuss the incidence, risk factors, and management of stroke following acute ST elevation MI.

scholarly journals Gambaran kelainan katup jantung pada pasien infark miokard di RSUP Prof. Dr. R. D. Kandou Manado periode 1 Januari 2015-31 Desember 2015

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Mawarni I.S. Tumbel ◽  
Agnes L. Panda ◽  
Janry Pangemanan
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Retrospective Study ◽  
Heart Valve ◽  
St Elevation Myocardial Infarction ◽  
Papillary Muscles ◽  
Age Group ◽  
Cross Sectional ◽  
St Elevation ◽  
Cross Sectional Design

Abstract: Myocardial infarction is divided into STEMI (ST elevation myocardial infarction) and NSTEMI (Non ST elevation myocardial Infarction). According to location, infarction consists of inferior, lateral, and aortal. Inferior infarction often causes mitral valve and aortal abnormality due to papillary muscles rupture. This study was aimed to obtain the description of heart valve abnormality in myocardial infarction patients at Prof. Dr. R. D Kandou Hospital Manado from January 2015 to December 2015. This was a retrospective study with a cross sectional design. The results showed that there were 20 cases (90.9%) of NSTEMI and 2 cases (9.1%) of STEMI. The most location of infarction was inferior accounted for 10 cases (45.5%). The most heart valve abnormalities were combination abnormality accounted for 16 cases (72.7%); most were mild MR (5 cases; 55.6%), mild PR (5 cases; 55.6%), and mild TR (3 cases; 33.3%) in NSTEMI cases dominated by male cases (54.5%) and age group 56-66 years (40.9%), and combination of 4 major risk factors (59.1%).Keywords: description, heart valve abnormality, myocardial infarction Abstrak: Infark miokard terbagi menjadi STEMI (ST elevation myocardial infarction) dan NSTEMI (Non ST elevation myocardial infarction). Infark berdasarkan lokasi terdiri atas inferior, lateral, anterior dan aorta. Infark inferior sering menyebabkan kelainan katup mitral dan aorta akibat ruptur muskulus papilaris. Penelitian ini bertujuan untuk mengetahui gambaran kelainan katup jantung pada pasien infark miokard di RSUP Prof. Dr. R. D. Kandou Manado periode 1 Januari 2015 - 31 Desember 2015. Jenis penelitian ialah retrospektif dengan desain potong lintang. Hasil penelitian mendapatkan 20 kasus (90,9%) NSTEMI dan 2 kasus (9,1%) STEMI. Lokasi infark terbanyak yaitu inferior sebanyak 10 kasus (45,5%), didapati kelainan katup terbanyak yaitu kombinasi sebanyak 16 kasus (72,7%), dengan derajat terbanyak yaitu MR mild 5 kasus (55,6%), PR mild 5 kasus (55,6%) dan TR mild sebanyak 3 kasus (33,3%) pada pasien NSTEMI, yang didominasi oleh pasien laki-laki (54,5%), usia 56 – 66 tahun (40,9%), yang memiliki 4 faktor resiko mayor (59,1%). Kata kunci: gambaran, kelainan katup, infark miokard.

scholarly journals RISK FACTORS OF CARDIOVASCULAR DISEASE AMONG ST-ELEVATION MYOCARDIAL INFARCTION MALE PATIENTS IN MALAYSIA FROM 2006 TO 2013

2019 ◽  
Vol 81 (3) ◽  
Author(s):  
Nurliyana Juhan ◽  
Zarina Mohd Khalid ◽  
Yong Zulina Zubairi ◽  
Ahmad Syadi Mahmood Zuhdi ◽  
Wan Azman Wan Ahmad
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Myocardial Infarction ◽  
Cardiovascular Disease ◽  
Risk Factor ◽  
Univariate Analysis ◽  
St Elevation Myocardial Infarction ◽  
Coronary Syndrome ◽  
St Elevation ◽  
Male Patients

Cardiovascular disease is the leading cause of death in Malaysia and globally. This study aimed to identify associated risk factors in cardiovascular disease among ST elevation myocardial infarction (STEMI) male patients and obtain a feasible model to describe the data. A total of 16,673 STEMI male patients from 18 participating hospitals across Malaysia in the National Cardiovascular Disease Database-Acute Coronary Syndrome (NCVD-ACS) registry year 2006-2013 were analysed. Univariate analysis was conducted. Significant variables from the univariate analysis were further analysed by a multivariate logistic analysis to identify the prognostic factors. The most prevalent risk factor for male patients was smoking (79.3%), followed by hypertension (54.9%) and diabetes mellitus (40.4%). At univariate level, this study is consistent with the findings from the Malaysian National Health and Morbidity Survey (NHMS) where smoking is a significant risk factor. After adjustment in multivariate logistic model, the risk factors for cardiovascular death among male patients are related to age, premorbid condition such as diabetes mellitus, hypertension, family history of CVD, Killip class, type of treatment such as percutaneous coronary intervention (PCI) and relevant comorbidity such as renal disease. Drastic efforts in the management of all risk factors in males is needed to improve adherence outcomes.

Risk factors of coronary microvascular obstruction (Preprint)

2020 ◽  
Author(s):  
Yong Li ◽  
Shuzheng Lyu
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Logistic Regression ◽  
Microvascular Obstruction ◽  
Coronary Intervention ◽  
St Elevation Myocardial Infarction ◽  
Neutrophil Percentage ◽  
Percutaneous Coronary ◽  
St Elevation

BACKGROUND Coronary microvascular obstruction /no-reflow(CMVO/NR) is a predictor of long-term mortality in survivors of ST elevation myocardial infarction (STEMI) underwent primary percutaneous coronary intervention (PPCI). OBJECTIVE To identify risk factors of CMVO/NR. METHODS Totally 2384 STEMI patients treated with PPCI were divided into two groups according to thrombolysis in myocardial infarction(TIMI) flow grade:CMVO/NR group(246cases,TIMI 0-2 grade) and control group(2138 cases,TIMI 3 grade). We used univariable and multivariable logistic regression to identify risk factors of CMVO/NR. RESULTS A frequency of CMVO/NR was 10.3%(246/2384). Logistic regression analysis showed that the differences between the two groups in age(unadjusted odds ratios [OR] 1.032; 95% CI, 1.02 to 1.045; adjusted OR 1.032; 95% CI, 1.02 to 1.046 ; P <0.001), periprocedural bradycardia (unadjusted OR 2.357 ; 95% CI, 1.752 to 3.171; adjusted OR1.818; 95% CI, 1.338 to 2.471 ; P <0.001),using thrombus aspirationdevices during operation (unadjusted OR 2.489 ; 95% CI, 1.815 to 3.414; adjusted OR1.835; 95% CI, 1.291 to 2.606 ; P =0.001),neutrophil percentage (unadjusted OR 1.028 ; 95% CI, 1.014 to 1.042; adjusted OR1.022; 95% CI, 1.008 to 1.036 ; P =0.002) , and completely block of culprit vessel (unadjusted OR 2.626; 95% CI, 1.85 to 3.728; adjusted-OR 1.656;95% CI, 1.119 to 2.45; P =0.012) were statistically significant ( P <0. 05). The area under the receiver operating characteristic curve was 0.6896 . CONCLUSIONS Age , periprocedural bradycardia, using thrombus aspirationdevices during operation, neutrophil percentage ,and completely block of culprit vessel may be independent risk factors for predicting CMVO/NR. We registered this study with WHO International Clinical Trials Registry Platform (ICTRP) (registration number: ChiCTR1900023213; registered date: 16 May 2019).http://www.chictr.org.cn/edit.aspx?pid=39057&htm=4. Key Words: Coronary disease ST elevation myocardial infarction No-reflow phenomenon Percutaneous coronary intervention

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 Influence of cardiovascular risk factors on infarct size and interaction with mechanical ischaemic postconditioning in ST-elevation myocardial infarction

Open Heart ◽  
2015 ◽  
Vol 2 (1) ◽  
pp. e000175 ◽  
Author(s):  
Sophie Pichot ◽  
Nathan Mewton ◽  
Theodora Bejan-Angoulvant ◽  
Francois Roubille ◽  
Gilles Rioufol ◽  
...  
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Cardiovascular Risk ◽  
Infarct Size ◽  
Cardiovascular Risk Factors ◽  
St Elevation Myocardial Infarction ◽  
St Elevation
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