A study of clinical profile of acute ST elevation myocardial infarction patients from GMERS Medical College and Hospital, Gandhinagar, Gujarat

Abstract

Background: Acute myocardial infarction is the most common and potentially life-threatening cardiac emergency presenting to a hospital. Having significant mortality and morbidity, the emergency requires early recognition, efficient triage and prompt therapeutic, interventions for maximum benefit. The objective was to study the age & sex distribution, clinical features, risk factors, ECG findings, complications, outcome of pts admitted with acute ST elevation myocardial infarction pts admitted in GMERS medical college and hospital, Gandhinagar, Gujarat. Methods: This is a retrospective study of all new patients managed for acute ST elevation myocardial infarction in the I.C.C.U. of GMERS medical college and hospital, Gandhinagar, Gujarat from January1 2012 to December 31, 2013. Results: Acute ST elevation myocardial infarction was more common in males (71.7%). Male to female ratio was 3.6:1. Mean age was 55.72 years & most pts were in age group of 51-60. most common clinical feature was chest pain (96.9%). Most of the pts (22.8%) presented in the hospital after onset of chest pain in 0>6 hrs duration. Most pts were having anterior wall infarction (47.5%). Most common risk factor was smoking or any form of tobacco consumption (28.3%). Most common complication was congestive cardiac failure (42.9%). In hospital mortality was 13.2%. Conclusion: Acute ST elevation myocardial infarction was having male predominance with anterior wall myocardial infarction most common and most common risk factor was smoking and most common complication was congestive cardiac failure.