Title: Clinical profile of Acute Myocardial Infarction patients from Rural India
Authors: Dr Shirish Deshmukh, Dr Ashish Deshpande, Dr N.D.Kulkarni
DOI: https://dx.doi.org/10.18535/jmscr/v5i11.47
Abstract
Introduction: Prevalence of coronary heart disease (CHD) is rising at rapid pace among urban as well as rural population in India due to rise in prevalence of major cardiovascular risk factors. An important change in risk factor pattern is more rapid rise in risk factors for CHD among rural and slum population in comparison with urban population in India. Present hospital based study was conducted to evaluate the clinical profile, presentation, risk factors and lipid profile of patients with AMI from rural area.
In this observational study, 50 patients with definite evidence of acute myocardial infarction (AMI) were studied with reference to clinical profile and risk factors. In detail medical, personal, family and past history was explored and socio-demographic data was recorded. After complete physical examination and ECG, blood samples were collected for biochemical assays.
Results: Out of 50 patients, 41 were male and 9 female with mean age 54.74 +/- 21.3 years. Sweating with chest pain was the most common presenting symptom. Either single or multiple risk factors like smoking, hypertension, dyslipidemia, are more prevalent. Surprisingly 74% of the cases were non-obese. Inferior and anterior wall infarcts were more common. Rhythm disturbances and left ventricular failure (LVF) were the most common complication.
Our study findings suggest clustering of multiple traditional risk factors. There was clustering of multiple traditional risk factors like smoking, hypertension, dyslipidemia, diabetes, male sex, and advanced age.
Keywords: Acute myocardial infarction, rural India, dyslipidemia, hypertension, clinical profile.
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