Pattern of STEMI and Its Related Clinical Factors in North Kordofan Sudan

Abstract

Background: Myocardial infarction (MI) is a common emergency department (ED) and coronary care unit (CCU) presentation globally. The purpose of this investigation was to determine the prevalent pattern and clinical presentation of STEMI type among Sudanese patients in the state of Northern Kordofan (rural population). Methodology: This is a descriptive study conducted at Coronary Care Unit (CCU) at El-Obeid Teaching hospital in El-Obeid city, North Kordofan State, Sudan. The study included a full coverage of patients admitted with clinical diagnosis of STEMI, during the period from Nov 2018 to March 29, 2022. Besides initial presenting symptoms, the diagnosis and STEMI categorization based on the ECG findings. Results: Only 141 of the 174 patients admitted to our facility had comprehensive patient identification information. The majority of patients had an anterior presentation, followed by anteroseptal, inferior, anterolateral, septal, and inferolateral, with proportions of 46/141 (32.6%), 32/141 (22.7%), 29/141 (20.4%), 26/141 (18.4%), 7/141 (5.0%), and 1/141 (0.7%), respectively. Only 32/141 (22%) of the 141 individuals presented within 12 hours of their initial chest discomfort. Approximately 59 out of 141 (41.8%) patients presented themselves after 72 hours had passed. Streptokinase was administered to about 40 individuals, and 12 of them (30%) presented after 12 hours. Conclusion: STEM is prevalent in rural Sudan, with an increasing prevalence of anterior type. The majority of patients presented late in response to their initial chest discomfort, which can lead to unfavorable or poor outcomes. Health education regarding MI is considered essential in rural communities.