Demographic and Clinical Profile of Patients with Acute ST-Elevation Myocardial Infarction
Published: 2023-12-23
Page: 431-436
Issue: 2023 - Volume 6 [Issue 1]
Atikur Rahman *
Department of Cardiology, National Institute of Cardiovascular Diseases and Hospital (NICVD), Dhaka, Bangladesh.
Mizanur Rahman Mazumder
Department of Cardiology, National Institute of Cardiovascular Diseases and Hospital (NICVD), Dhaka, Bangladesh.
Mahmudul Hasan Masum
Department of Cardiology, National Institute of Cardiovascular Diseases and Hospital (NICVD), Dhaka, Bangladesh.
Md. Sohel Mridha
Department of Cardiology, National Institute of Cardiovascular Diseases and Hospital (NICVD), Dhaka, Bangladesh.
Md. Azharul Islam
Department of Cardiology, National Institute of Cardiovascular Diseases and Hospital (NICVD), Dhaka, Bangladesh.
Rashedul Islam
Department of Cardiology, National Institute of Cardiovascular Diseases and Hospital (NICVD), Dhaka, Bangladesh.
Zonaid Kabir
National Institute of Kidney Diseases and Urology (NIKDU), Dhaka, Bangladesh.
Ferdous Jahan
Department of Neonatology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
*Author to whom correspondence should be addressed.
Abstract
Background: Myocardial Infarction (MI) stands as a significant contributor to global morbidity and mortality. characterized by the irreversible death (necrosis) of heart muscle due to prolonged oxygen deprivation (ischemia), MI poses a substantial health threat. In the United States alone, around 1.5 million cases of MI are reported annually.
Aim of the Study: To assess the demographic and clinical profile of patients with acute ST-elevation myocardial infarction.
Methods: This cross-sectional descriptive study was conducted at the Department of Cardiology BSMMU, Dhaka, Bangladesh from Jun 2013 to Dec 2013. The study included a purposive sample of 100 cases diagnosed with acute ST-elevation myocardial infarction as study participants. Data collection utilized a semi-structured predesigned questionnaire, and analysis was conducted using MS Office tools and SPSS Version 23.0.
Results: The mean ± SD age of participants was 52.84 ± 8.40 years, with 77% being male. Clinical symptoms included chest pain in 97% and breathlessness in 90% of cases. In clinical findings, the mean ± SD heart rate was 88 ± 15, systolic blood pressure was 136.75 ± 19.25, diastolic pressure was 85.30 ± 11.52, and BMI was 25.76 ± 2.51 Kg/m2. Risk factors for STEMI comprised hypertension in 61%, smoking in 52%, dyslipidemia in 100%, diabetes mellitus in 46%, and a family history of IHD in 43% of patients. Left ventricular ejection fraction was 50.82 ± 9.99%, and random blood sugar was 222.82 ± 72.16 mg/dl.
Conclusion: Aged males are predominantly susceptible to acute ST-elevation myocardial infarction (STEMI), with chest pain and breathlessness being the most prevalent clinical symptoms. Common risk factors for STEMI include hypertension, smoking, dyslipidemia, diabetes mellitus, and a family history of ischemic heart disease (IHD).
Keywords: Demographic profile, ST-elevation myocardial infarction, STEMI, chest pain
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