scholarly journals Retrospective Study for more than 10 Years on the Risk Factors of the Cases of Myocardial Infarction

1993 ◽  
Vol 20 (2) ◽  
pp. 239-239
e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Mawarni I.S. Tumbel ◽  
Agnes L. Panda ◽  
Janry Pangemanan

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.


2018 ◽  
Vol 5 (6) ◽  
pp. 1432
Author(s):  
Abhishek Kamendu ◽  
Ahmad Nadeem Aslami

Background: Cardiovascular diseases are the most common diagnosis in the elderly, and the first cause of death in men and women over 60 years. It is not clear if the risk factors of acute myocardial infarction (AMI) are different in elderly and non-elderly people. The aim of this study was to compare the prevalence of risk factors of acute myocardial infarction between elderly and non-elderly patients who had been admitted to hospital for the first attack of acute myocardial infarction (AMI).Methods: A retrospective study was done in Narayan Medical College and Hospital, Jamuhar, Sasaram, Bihar from January 2017 to December 2017. Study population were all patients who were admitted due to AMI in medicine ward. Patients were selected as per World Health Organization guidelines. The patients were divided into two groups, non-elderly patients of <60 years and elderly patients of ≥60 years.Results: Among different risk factors, diabetes and hypertension were more common in elderly than their non-elderly counterparts, and male gender, smoking and family history of ischemic heart disease was more common in non-elderly patients than elderly ones.Conclusions: This study provide vital information on young AMI patients amongst the diverse population of north India and will help to guide the treating physicians and the health care system to adopt appropriate steps directed towards primary and secondary prevention of AMI in young patients of this region, especially smoking cessation, which is the commonest modifiable risk factor, in their most productive years of life.


2020 ◽  
Vol 27 (3) ◽  
pp. 25-35
Author(s):  
I. V. Polivenok ◽  
О. V. Gritsenko ◽  
О. S. Sushkov ◽  
О. О. Berezin ◽  
О. Е. Berezin

The aim – to search for risk factors of adverse clinical outcome of acute myocardial infarction (AMI) complicated by cardiogenic shock (CS). Materials and methods. In pilot retrospective study 1,292 consecutive patients with AMI treated by emergent percutaneous coronary intervention (PCI) in the reperfusion center of Zaitsev V.T. Institute for General and Emergency Surgery NAMS of Ukraine were selected. 54 out of 1292 patients (4.2 %) matched the Society for Cardiovascular Angiography and Interventions (SCAI) criteria of CS stage C and higher either on admission or during hospitalization. Results and discussion. The overall hospital mortality in patients with CS due to AMI in our series was 59.3 %. Univariant analysis revealed that the age of 65 and higher, left ventricular ejection fraction < 40 %, a single-vessel coronary lesion, absence of concomitant chronic total occlusion (CTO), reperfusion deterioration and cardiac arrest were the only risk factors for hospital death in CS patients. The risk of CS progression was independently associated with anemic syndrome (Hb < 118 g/l), chronic total occlusion, and multivessel coronary disease. In a multivariant logistic regression the preexisting LV EF < 40 %, single-vessel disease and absence of CTO were found as the independent predictors of hospital morta­­­lity in СS. Conclusions. СS in patients with AMI still be a significant challenge even after successful PCI, associated with high in-hospital mortality (59.3 %). There is an unmet need for development and implementation of an adjusted registry-based national protocol for CS management in order to improve patient survival.


Author(s):  
A.V. Sotnikov ◽  
◽  
S.Ju. Epifanov ◽  
A.N. Kudinova ◽  
A.V. Gordienko ◽  
...  

Author(s):  
Tupitsyn V.V. ◽  
Bataev Kh.M. ◽  
Men’shikova A.N. ◽  
Godina Z.N.

Relevance. Information about the cardiovascular diseases risk factors (CVD RF) for in men with chronic lung inflam-matory pathology (CLID) is contradictory and requires clarification. Aim. To evaluate the peculiarities of CVD RF in men under 60 years of age with CLID in myocardial infarction (MI) to improve prevention. Material and methods. The study included men aged 19-60 years old with type I myocardial infarction. Patients are divided into two age-comparable groups: I - the study group, with CLID - 142 patients; II - control, without it - 424 patients. A comparative analysis of the frequency of observation of the main and additional cardiovascular risk fac-tors in groups was performed. Results. In patients of the study group, more often than in the control group we observed: hereditary burden of is-chemic heart disease (40.8 and 31.6%, respectively; p = 0.0461) and arterial hypertension (54.2 and 44.6%; p = 0.0461), frequent colds (24.6 and 12.0%; p = 0.0003), a history of extrasystoles (19.7 and 12.7%; p = 0.04); chronic foci of infections of internal organs (75.4 and 29.5%; p˂0.0001), non-ulcer lesions of the digestive system (26.1 and 14.6%; p = 0.007), smoking (95.1 and 66.3%; p˂0.0001), MI in winter (40.8 and 25.9%; p = 0.006). Less commonly were observed: oral cavity infections (9.2 and 23.6%; p˂0.0001); hypodynamia (74.5 and 82.5%; p = 0.0358), over-weight (44.4 and 55.2%; p = 0.0136), a subjective relationship between the worsening of the course of coronary heart disease and the season of the year (43.7 and 55.2%; p = 0.0173) and MI - in the autumn (14.1 and 21.9%; p = 0.006) period. Conclusions. The structure of CVD RF in men under 60 years of age with CLID with MI is characterized by the pre-dominance of smoking, non-ulcer pathology of the digestive system, frequent pro-student diseases, meteorological dependence, a history of cardiac arrhythmias and foci of internal organ infections. It is advisable to use the listed factors when planning preventive measures in such patients.


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