Clinical Profile of 150 Elderly Patients With Acute Myocardial Infarction

Ambali, Anand P.; Bomman, Jairaj V.

doi:10.18410/jebmh/2018/300

Cited by 3 publications

(5 citation statements)

References 6 publications

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“…Savith et al 21 noted Non-ST elevation MI in 4% of their patients. Ambali et al 22 noted STEMI in 109 (72.6%) and NSTEMI in 41 (27.4%) of their subjects. Bhatia LC et al 19 observed, electrocardiographic presentation differed in the elderly.…”

Section: Ecg Findingsmentioning

confidence: 88%

“…Savith et al 21 observed elevated CKMB in 70% of the patients and elevated Troponin I in 48% of patients. Ambali et al 22 observed creatinine Phosphokinase MB to be elevated in 126 (84%) patients, while Troponin-T was positive in 90 (60%) of the patients.…”

Section: Biochemical Investigationsmentioning

confidence: 98%

“…In the present study, complications were in the form of arrhythmias in 59% cases, cardiac failure in 27.2% and CVA in 1.8% cases. Ambali et al 22 noted complications noted in 26(17.4%) patients over five days of hospital stay, among which bradyarrhythmia and tachyarrhythmia were found in 9(6%) participants each, followed by sinus bradycardia in 4(2.7%), congestive cardiac failure in 3(2%) and ventricular ectopics in 01(0.7%) patients. Singh et al 18 (n=50) observed complications in 25% patients in the form of arrhythmia in 50% cases, cardiac failure in 40% cases, and CVA in 6% cases.…”

Section: Complicationsmentioning

confidence: 99%

“…Also hypertension (33%), diabetes mellitus (16%), family history of coronary artery disease (14%) obesity (13%) and dyslipidaemia (12%) were seen. Ambali et al 22 observed that a total of 60 (40%) patients had addictive habits, the most common habit noted was smoking and was present in 29 (19.3%) patients, followed by tobacco chewing in 18 (12%) patients. Adhikari et al 20 observed tobacco smoking/chewing (62.87%) as a major risk factor contributing to myocardial infarction.…”

Section: Risk Factorsmentioning

confidence: 99%

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Clinical Profile and Risk Factors Associated with Acute Myocardial Infarction

Prasad¹,

Kumari²

2019

jebmh

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BACKGROUND Cardiovascular diseases are the number one cause of death globally and are quite common in developed as well as developing countries like ours. In the present study, we have attempted to look at the clinical profile and risk factors associated with acute myocardial infarction in our patients. The aim of the study was to determine the clinical profile and risk factors associated with acute myocardial infarction. METHODS This was a cross-sectional study done in the Department of General Medicine, Mamata Academy of Medical Sciences, Bachupally, Hyderabad, Telangana in the for a duration of one year. About 110 cases with acute MI were included and studied for demographics, clinical features and risk factors for acute myocardial infarction. RESULTS Maximum number of cases 45/110 (40.9%) were in the age group of 60-70 years. Males 63.6% (70/110) were predominant as compared to females 36.3% (40/110). The commonest clinical symptom was chest pain (100%), followed by giddiness 72.7% and sweating 63.6%. Commonest risk factor found in this study was smoking that was seen in 38.1% of the cases followed by hypertension in 33.6% cases. Electrocardiography changes noted were STEMI in 72.7% (80 /110) cases and NSTEMI in 27.2% (30/110) cases. CONCLUSIONS Myocardial infarction is common in the sixth and seventh decades and is more common in males. It frequently presents with chest pain, giddiness, sweating etc. Commonly associated risk factors are smoking, alcohol, hypertension and diabetes mellitus. Various complications like arrhythmias and cardiac failure can be seen post-myocardial infarction. ECG, 2D Echo and biochemical testing for cardiac markers is essential for diagnosis.

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Section: Ecg Findingsmentioning

confidence: 88%

Section: Biochemical Investigationsmentioning

confidence: 98%

Section: Complicationsmentioning

confidence: 99%

Section: Risk Factorsmentioning

confidence: 99%

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Clinical Profile and Risk Factors Associated with Acute Myocardial Infarction

Prasad¹,

Kumari²

2019

jebmh

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“…These challenges pose difficulty in diagnosing AMI by treating physicians in elder patients. 9 It has been found that STEMI type of AMI is globally the most important cause of death and morbidity. 10…”

Section: Introductionmentioning

confidence: 99%

Clinical and electrocardiographic profile of patients presenting with acute coronary syndrome in emergency department in a Tertiary Care Hospital.

Mahmood¹,

Khawaja²,

Iqbal³

et al. 2020

TPMJ

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Objectives: To assess the clinical characteristics and diagnosis of ACS for timely, management and further prevention from coronary events. Study Design: Cross sectional study. Setting: Emergency Department (ED) of Punjab Institute of Cardiology (PIC) Lahore. Period: November 2017 to January 2018. Material & Methods: Included 170 diagnosed patients of ACS of both sexes presenting within approximately four hours of symptoms. At presentation ECG and initial blood samples were taken from all patients for base line and Troponin T estimation. All the patients included in the study were properly examined and complete history was taken. Blood samples of patients for diagnosis of NSTEMI were also drawn at 8hrs of arrival. The patients were categorized into STEMI, NSTEMI and UA on the basis of history, ECG and cardiac Troponin T. Results were analyzed statistically. A p-value ≤ 0.05 was considered statistically significant. Results: A total of 170 patients with established diagnosis of ACS were included. The mean age of the patients was 56 years. There was a very strong male predominance (81.76%). The major modifiable risk factors were hypertension (54.71%) and smoking (35.88%), followed by hyperlipidemia (35.29%) and diabetes (32.35%). A previous history of IHD in patients and family history of IHD were equally present (37.65%). A large proportion of patients belonged to middle class (54.12%) and lower (41.18%). Typical pain chest pain was present in 90% and majority of patients enrolled in this study had a diagnosis of myocardial infarction 77.05% and the remainder had unstable angina. We found a higher percentage of ST elevation MI in the patients with MI (84.73%), majority had anterior AMI. Of all patients, 1.77% expired during hospital stay. Conclusion: The majority of ACS patients in our country are male with STEMI. The major risk factors are hypertension, family history of IHD, smoking, hyperlipidemia and diabetes. 90% patients present with typical chest pain while remaining 10% atypical symptoms which must be of prime consideration to assess ACS.

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Clinical Profile of 100 Elderly Patients Admitted to Critical Care Unit

Ul Huq,

Kumar,

Ambali

2023

Journal of the Indian Academy of Geriatrics

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Introduction: The population of older people (≥60 years) is a growing segment of society, leading to enhanced stress on the global health-care system. Critical care admissions with multiple comorbidities result in prolonged hospital stay and are associated with increased mortality. There is a need to study the profile of older adults admitted to the intensive care unit (ICU) so as to know and understand the challenges of delivery of health care in an intensive care setup. Materials and Methods: A prospective observational study was conducted with the aim to assess the clinicodemographic profile, disease pattern, and clinical outcome in elderly patients admitted to the medical ICU. One hundred elderly people of either gender with medical emergencies admitted during the study period of 6 months were included in the study after obtaining informed consent. Results: The mean age of 100 elderly patients admitted to medical ICU was found to be 70.75 ± 9.22 years. There were 57 males and 43 females. The most common systemic cause of admission to the critical care unit was pertaining to the respiratory system in 45 patients (25.4%) such as exacerbation of chronic obstructive pulmonary disease, pneumonia, and cor pulmonale. The mean number of comorbidities in our study subjects was 1.13 ± 1.12. The common comorbidities were hypertension 39 (34.2%) and diabetes mellitus 22 (19.3%). The mortality in patients with >2 comorbidities was found to be 52.5% and with ≤2 comorbidities was found to be 13.4%, the difference being statistically significant (P < 0.001). Thirty-four percent of patients required invasive mechanical ventilation, and the overall mortality rate was found to be 14%. Mortality was significantly higher among males (71.42%). The mean length of ICU stay was 7.24 ± 6.60 days. Length of stay was significantly higher in patients with <2 comorbidities and with the diagnosis of cerebrovascular disorders. Conclusion: Older people admitted to ICUs are more challenging because of preexisting multiple comorbidities and have a significantly higher risk of poor outcomes. Diseases of the respiratory system, cardiovascular system, and central nervous system are more common among older people with increased length of ICU stay and higher mortality.

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Clinical Profile of 150 Elderly Patients With Acute Myocardial Infarction

Cited by 3 publications

References 6 publications

Clinical Profile and Risk Factors Associated with Acute Myocardial Infarction

Clinical Profile and Risk Factors Associated with Acute Myocardial Infarction

Clinical and electrocardiographic profile of patients presenting with acute coronary syndrome in emergency department in a Tertiary Care Hospital.

Clinical Profile of 100 Elderly Patients Admitted to Critical Care Unit

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