FREQUENCY OF IN HOSPITAL MORTALITY IN ACUTE MYOCARDIAL INFARCTION PATIENTS WITH METABOLIC SYNDROME

Abstract

Objective:
 To determine frequency of in hospital mortality in acute myocardial infarction patients with metabolic syndrome.
 Materials and Methods:
 It was a descriptive case series study was conducted in cardiology department Khyber teaching hospital Peshawar, Pakistan from 02/01/2016 to 21/07/2016. Sample size was calculated 72 using non probability sampling technique. Age, gender, SBP, serum FBG, serum HDL-C, serum TG and waist circumference was noted. Patients were followed for 5 days to determine outcome i.e. in hospital mortality.
 Results:
 Out of 110 patients, 72 were fulfilling the criteria for my study. Mean age of the patients was calculated to be 57.47 years. 35 (48.6%) patients were males and 37 (51.4%) were females. Frequency of in hospital mortality was 6 (8.3 %) with 11.4 %( n=4) in males and 5.4 %( n=2) in females.
 Conclusion:
 We concluded that in hospital mortality ratio is relatively high in acute myocardial infarction and those having more metabolic disturbances. There is significant association between age of onset and co morbid medical or endocrinological problems, while gender, educational status, marital status, occupational status, duration of illness and family history with the patient are not as much associated with mortality rate.