Outcome of Patients with Acute Myocardial Infarctionin A Tertiary Care Center

Abstract

Background : Cardiovascular Diseases is a global health problem and an important cause of morbidity and
mortality in thedeveloped as well as the developing countries. Acute myocardial infarction is a key component of the
burden of cardiovascular diseases.A majority of patients with acute myocardial infarction have at least one
identifiable risk factor.This study aimed to access the risk factors, clinical profile and the outcome of acute
myocardial infarction.
Methods : This study included 50 patients admitted tocoronary care Unit of our tertiary care hospital with acute
myocardialinfarction fulfilling the inclusion criteria. Detailed history was obtained from all patients. Patients were
managed according to standard guidelines.
Results : Incidence of acute myocardial infarction was greater in male (70%) thanfemales (30%). HTN was
mostprevalent co-morbidity (58%) followed by Diabetes Mellitus (40%).Smoking was most prevalentmodifiable risk
factor (54%) followed by dyslipidemia (52%) and tobacco chewing (36%). All smokers were male. Anterior wall
myocardial infarction was most commonpresentation(46%). Single vessel disease was most common abnormality
(17%) on coronary angiography. Most common complications were heart failure (18%) and cardiogenic shock
(18%). 5 patients (10%) were died due to various complications of acute myocardial infarction.
Conclusion : Smoking, dyslipidemia & tobaccoare commonmodifiable risk factors in acute myocardial
infarction.Hypertension and Diabetes Mellitus arecommon non modifiable risk factors. Anterior wall myocardial
infarction is most common presentation. Most patients have single vessel disease. Outcome is good in majority
patients.