CLINICAL CHARACTERISTICS OF PATIENTS WITH ACUTE MYOCARDIAL INFARCTION IN A SPECIALIZED HOSPITAL

Abstract

Objective: To study the features of the clinical course of AMI. Design and method: A retrospective study of medical records of patients with AMI included 754 patients. Statistical processing was carried out using the SPSS 13 software (IBM, USA). Variables with parametric distribution are presented as x ± SD. To compare qualitative variables, the Pearson Chi-square test was used. Differences in the data were considered statistically significant at p < 0.05. Results: 84.1% patients with a favorable outcome of AMI and 15.9% were fatal cases. In the analysis elderly people prevailed. For men 65 (± 11.3), for women 72 (± 10.1) years, p = 0.001. Obesity was observed more often in men than in women (35% vs. 26%; p < 0.001). Dyslipidemia occurred more often in men than in women (57.5% vs. 42.5%; p = 0.525). CKD, AF, DM were predominantly diagnosed in women compared with men (58.8% vs. 41.2%; p = 0.001; 15.8% vs. 10.8%; p = 0.049; 54.9% vs. 45.1%; p = 0.001). The frequency of CHF, AH, repeated AMI was higher in men (65.5% versus 34,%; p = 0.35, AH 58.2% versus 41.8%; p < 0.001, repeated AMI 62, 4% versus 37.6%; p = 0.520). The proportion of men who underwent CABG was higher than that of women (13.3% versus 9.2%: p = 0.176). In addition, men were more likely to undergo PCI and further stenting (85.7% versus 78.1%; p = 0.007; stenting. 58.9% versus 48%; p = 0.006). In the duration of hospitalization men lay longer than women (11 (+ - 4.05) versus 9.5 (+ - 4.2) p = 0.003). Fatalities were higher in women - 52.5%, among men it was 47.5% (p = 0.005). Conclusions: Unfavorable risk factors for the development of AMI were more often identified among men. Comorbid diseases such as diabetes, AF, CKD were more common in women than in men. AH, CHF, repeated AMI were more detected in men. Therapeutic procedures such as CABG, PCI and stenting were performed more in men. In terms of hospitalization terms, the men stayed in the hospital longer.