scholarly journals Risk factors for acute myocardial infarction evidenced in hospitalized patients in the coronary care unit / Fatores de risco para infarto agudo do miocárdio evidenciados em pacientes hospitalizados em unidade coronariana

2021 ◽  
Vol 13 ◽  
pp. 1032-1036
Author(s):  
DEBORAH HELENA BATISTA LEITE ◽  
SÔNIA MARIA JOSINO SANTOS ◽  
GLEYDSON HENRIQUE DE OLIVEIRA DANTAS ◽  
ANA CAROLINE LIMA DO NASCIMENTO ◽  
AURILENE JOSEFA CARTAXO GOMES DE ARRUDA ◽  
...  
Keyword(s):  
Social Sciences ◽  
Diabetes Mellitus ◽  
Risk Factors ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Care Unit ◽  
Hospitalized Patients ◽  
The Social ◽  
Coronary Care

Objetivo: DESCREVER OS FATORES DE RISCO IDENTIFICADOS EM PACIENTES COM INFARTO AGUDO DO MIOCÁRDIO (IAM) HOSPITALIZADOS EM UNIDADE CORONARIANA. Método: ESTUDO DESCRITIVO, TRANSVERSAL COM ABORDAGEM QUANTITATIVA, REALIZADO COM 125 INDIVÍDUOS COM DIAGNÓSTICO DE INFARTO AGUDO DO MIOCÁRDIO. A AMOSTRA FOI COLETADA POR CONVENIÊNCIA DE FORMA CONSECUTIVA. OS DADOS FORAM ANALISADOS COM AUXÍLIO DO PROGRAMA ESTATÍSTICO STATISTICAL PACKAGE FOR THE SOCIAL SCIENCES (SPSS) (VERSÃO 21) E APROVADO SOB PARECER 457.504. Resultados: PREDOMINOU INDIVÍDUOS DO SEXO MASCULINO DE ETNIA BRANCA E COM UMA MÉDIA DE 62 ANOS. OS FATORES DE RISCO MAIS PREVALENTES NA AMOSTRA FORAM: SEDENTARISMO, HIPERTENSÃO ARTERIAL, HISTÓRICO FAMILIAR, TABAGISMO, INGESTA ALCOÓLICA E DIABETES MELLITUS. Conclusão: A PESQUISA TRAZ DADOS RELEVANTES PARA O CONTROLE DOS FATORES DE RISCO IDENTIFICADOS, MOSTRA ONDE DIRECIONAR AS AÇÕES PREVENTIVAS, A FIM DE DIMINUIR A INCIDÊNCIA DO INFARTO AGUDO DO MIOCÁRDIO, SUAS SEQUELAS E A MORTALIDADE.

A Descriptive Study on Risk Factors among Acute Myocardial Infarction Patients Admitted to the Coronary Care Unit of Prince Mitab Hospital Sakaka Aljouf

2017 ◽  
Vol 6 (4) ◽  
pp. 278
Author(s):  
Altaf Hussain Banday ◽  
Khalid Salem Albalawi ◽  
Zedan Saud Aleneze ◽  
Ali Hamoud Alanazi ◽  
Marwan Abdullah Aljoufi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Care Unit ◽  
Descriptive Study ◽  
Coronary Care

Diabetic patients and myocardial infarction

1983 ◽  
Vol 104 (4_Suppl) ◽  
pp. S83-S87
Author(s):  
Lene Rytter ◽  
Henning Beck-Nielsen ◽  
Svend Troelsen
Keyword(s):  
Diabetes Mellitus ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Mortality Rate ◽  
Metabolic Regulation ◽  
Coronary Care Unit ◽  
Diabetic Patients ◽  
Insulin Dependent ◽  
Coronary Care ◽  
Prevalence Of Diabetes Mellitus

ABSTRACT. The investigation comprised 832 consecutive hospitalized patients with acute myocardial infarction (AMI). The prevalence of diabetes mellitus among the AMI-patients was 9.7 % and is significantly higher than in an age-matched population where the prevalence is about 6.1 % (p<0.05). The prevalence was higher for women than for men (14.9 % versus 7.6 %). The risk of AMI was found to be about 4 times higher among IDDM than among nondiabetics(p<0.05), whereas the risk for non-insulin dependent diabetics was only slightly increased (p<0.05). The mortality rate from AMI within the first month was 20.2 % for non-diabetics while 42 % of the diabetics died from their myocardial infarction (p<0.001). A specially high mortality rate of 51.6% was found among non-insulin dependent women. The investigation show further that patients in a poor diabetic state, both in the years prior to the AMI and at the time of hospitalization in the coronary care unit, had a significantly higher mortality rate (p<0.05). We therefore conclude that diabetes mellitus disposes to AMI and that the mortality rate of AMI is significantly increased among diabetics. A poor metabolic regulation of the diabetes seems to aggravate the prognosis of AMI. Key words: diabetes mellitus, acute myocardial infarction, coronary sclerosis.

Management of Ventricular Fibrillation during Acute Myocardial Infarction

1984 ◽  
Vol 23 (04) ◽  
pp. 209-213
Author(s):  
B. J. Northover
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Ventricular Fibrillation ◽  
Coronary Care Unit ◽  
Patient Survival ◽  
Left Ventricular ◽  
Ventricular Failure ◽  
Before And After ◽  
Coronary Care ◽  
The Creation

SummaryAnalysis of electrocardiograms tape-recorded from patients admitted to hospital with acute myocardial infarction revealed that the pattern of ventricular extrasystolic activity was not significantly different among those who subsequently developed ventricular fibrillation and those who did not. Episodes of ventricular fibrillation occurred predominantly within 4 hours from the start of infarction. Patients were 3 times less likely to survive an episode of ventricular fibrillation if they also had left ventricular failure than if this feature was absent. Management of episodes of ventricular fibrillation was compared in patients before and after the creation of a specially staffed and equipped coronary care unit. The success of electric shock as a treatment for ventricular fibrillation was similar before and after the creation of the coronary care unit. An attempt was made to determine which features in the management of ventricular fibrillation in this and in previously published series were associated with patient survival.

scholarly journals RISK FACTORS ASSOCIATED WITH THE OCCURRENCE OF EARLY COMPLICATIONS OF ACUTE MYOCARDIAL INFARCTION AFTER CARDIO-INTERVENTION TREATMENT

2020 ◽  
Vol 73 (6) ◽  
pp. 1245-1251
Author(s):  
Iryna A. Holovanova ◽  
Grygori A. Oksak ◽  
Iryna M. Tkachenko ◽  
Maxim V. Khorosh ◽  
Mariia M. Tovstiak ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Cox Regression ◽  
Risk Indicators ◽  
Interventional Treatment ◽  
Early Complications ◽  
Cox Regression Analysis ◽  
Intervention Treatment

The aim of our study was to identify the main risk factors for the occurrence of early complications of acute myocardial infarction after cardio-interventional treatment and to evaluate prognostic risk indicators. Materials and methods: Risk factors of myocardial infarction were determined by copying the case history data and calculating on their basis of the odds ratio and ±95% confidence interval. After it, we made a prediction of the risk of early complications of AMI with cardiovascular intervention by using a Cox regression that took into account the patient’s transportation time by ambulance. Results: Thus, the factors that increase the chances of their occurrence were: summer time of year; recurrent myocardial infarction of another specified localization (I122.8); the relevance of the established STEMI diagnosis; diabetes mellitus; renal pathology; smoking; high rate of BMI. Factors that reduce the chances of their occurrence: men gender – in 35%; the age over of 70 – by 50%; the timely arrival of an emergency medical team – by 55%. The factors that increase the chances of their occurrence were: age over 70 years; subsequent myocardial infarction of unspecified site; diabetes mellitus. Using of a Cox regression analysis, it was proved that the cumulative risk of early complications of AMI with cardio-intervention treatment increased from the 10th minute of ambulance arrival at place, when ECG diagnosis (STEMI), presence of diabetes mellitus, smoking and high BMI. Conclusions: As a result of the conducted research, the risk factors for early complications of AIM with cardio-interventional treatment were identified.

scholarly journals Early Diagnosis of Acute Myocardial Infarction: CK-MB and Myoglobin Compared

1993 ◽  
Vol 30 (5) ◽  
pp. 435-438 ◽  
Author(s):  
W S Kilpatrick ◽  
D Wosornu ◽  
J B McGuinness ◽  
A C A Glen
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Care Unit ◽  
Rapid Diagnosis ◽  
Blood Samples ◽  
Care Utilisation ◽  
Creatine Kinase Mb ◽  
Coronary Care ◽  
Selection Of Patients ◽  
Selection Of

We have measured changes in plasma concentration of creatine kinase MB (CK-MB) and myoglobin in 50 patients admitted to the Coronary Care Unit with chest pain of presumed cardiac origin. Eight serial blood samples were obtained in the 6 h period following admission and both CK-MB and myoglobin concentrations were measured. We compared the performance of single values of both tests. Myoglobin concentration, in the coronary care population studied, proved to be as specific as CK-MB concentration (92–6% in both cases) but with sensitivity of 100% being achieved 1 · 5 h post admission rather than 4 h post admission in the case of CK-MB. On this evidence, measurement of plasma myoglobin could prove useful in the rapid diagnosis of myocardial infarction with consequent effects on optimal Coronary Care utilisation and selection of patients for thrombolytic therapy.

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