Hr Mashreghimoghadam, T Kazemi, F Besharatimoghadam,
Volume 4, Issue 2 (9-2008)
Abstract
Background and objective: Acute myocardial infarction (AMI) is the most prevalent cause of mortality in the world today. Sometimes before an acute phase of AMI there are certain prodromal symptoms. Since there are some social and cultural differences in Iranian population, this study was deigned to investigate the prodromal symptoms in patients with AMI in city of Birjand.
Methods: In this analytic-descriptive research, 165 patients with first AMI who were hospitalized in the CCU and cardiac ward of the Valiassr Hospital in Birjand from the 2006-2007 were studied. A valid questionnaire which was designed by expert cardiologists was used. The T-test and ANOVA were used for data analysis, and p<0.05 was considered as the significant level.
Results: Among 165 subjects, there was 118 (71.5%) males and 102 patients (61.8%) had Anterior MI. 61 patients (37%) reported cardiac prodromal symptoms and 43 patients (26.1%) reported systemic prodromal symptoms. The most common cardiac prodromal symptom 2 days before AMI was chest pain in the right and left hemithorax (24.2%), and the most common systemic prodromal symptom was loss of appetite (12.7%). Women reported more cardiac (p=0.04) and systemic (p=0.00) prodromal symptoms than men. This difference was statistically significant (p <0.05).
Conclusion: Careful attention to history and prodromal symptoms in patients with cardiac risk factors may be caused early diagnosis, efficient treatment plan and better prognosis of AMI in patients.
Ab Mohammadian Hafshejani, H Baradaran, N Sarrafzadegan, M Asadi Lari, A Ramezani, Sh Hosseini, F Allahbakhshi Hafshejani,
Volume 8, Issue 2 (9-2012)
Abstract
Background & Objectives: Despite decreasing the trend of coronary artery
diseases in developed countries and outstanding improvements in clinical
management of these patients, case fatality rate after an acute myocardial
infarction (AMI) remains high in both genders. Identifying predicting factors
of short-term survival in patients with AMI may play an important role in
reducing mortality in these patients.
Methods: In
this cohort study, all patients with acute myocardial infarction (AMI) admitted
to all hospitals in Isfahan, Iran, during 2000-2008 which registered in Isfahan
cardiovascular research Institute were analyzed. We used Cox regression models,
uni- and multi-variable analysis.
Results: Within
the study period, 8800 AMI patients (73.6% male) were admitted with mean age of
61.85±12.5, and overall 28-day survival of 90.5%. Relative risk (RR) of death
for 50-70 years old patients was 2.5 (CI:2-3.1), for over 70 years old RR=5
(CI:4-6.3), for women RR=1.7 (CI:1.5-1.9), for patients who had not received
streptokinase RR=0.9 (CI:0.8-1.1), for inferior MI RR=4.2 (CI:2.2-7.8) and for
anterior MI, RR was equal to 7.2 (CI:4-13.3).
Conclusion: Recognizing
the predicting factors of short-term survival of AMI patients may help health
professionals to provide better healthcare services for more at risk patients,
i.e. elderly, women and patients with an anterior MI.
