Clinical outcome and risk factors of patients with acute myocardial infarction: A tertiary level hospital-based study in Bangladesh.
Abstract
Introduction: Coronary Artery Disease (CAD) remains the major cause of mortality and morbidity in mankind. Even though a lot of advances are made in the diagnosis, management, and prevention of the disease. Coronary Artery Disease (CAD) is the leading cause of death in the United States, affecting over 5 million Americans. It is the most common cause of death worldwide.
Aim of the study: The study aimed to evaluate the clinical outcome and Risk Factors of Patients with Acute Myocardial Infarction in a Tertiary Level Hospital-Based Study in Bangladesh.
Methods: This cross-sectional study was conducted in the Department of Cardiology, TMC & RCH, Bogura, Bangladesh from January 2020 to January 2021. The study was conducted after obtaining ethical clearance from the institutional review board of TMC & RCH, Bogura, Bangladesh. The data was collected from the discharge records of the patients admitted to the cardiology department.
Result: A total of 56 patients were diagnosed with myocardial infarction and analyzed in this study. The age distribution of the study was based on STEMI, 22(39.39%) patients suffering from AMI were in the 50-59 years age group, 16(28.57%) patients were from the age group 60-69, 12(21.43%) patients were from the age group 40-49, among the 5(8.93%) patients were from the age group >70 age group and only one patient was from the age group 30-39. the clinical outcomes of the study population; there are 17(30.36%) patients who had a cardiogenic shock, 13(23.21%) patients who were getting well, 12(21.43%) patients who had LVF/Pulmonary edema, 7(12.50%) patients had bradyarrhythmias and both 7(12.50%) patients died within 24 hours of hospital admission, 5(8.93%) patients have had tachyarrhythmias, 4(7.14%) patients had a cardiac arrest and only one patient had a mechanical complication.
Conclusion: There is a need for early detection of risk factors to prevent the progression of coronary heart disease, a need for creating awareness in the community regarding risk factors, symptoms, and signs of acute myocardial infarction so that early referral can be done to the coronary care unit to prevent morbidity and mortality in the community.
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