بررسي اپيدميولوژي بيماران بستري با تشخيص انفاركتوس حاد ميوكارد در بيمارستان شهيد بهشتي كرمانشاه در سالهاي 1377 و 1378

Epidemiologic Study of Patients with Acute Myocardial Infarction Admitted in Shahid Beheshti Hospital of Kermanshah duringl998-1999

Introduction : Myocardial infarction is known as a complication of coronary artery disease which is the first leading cause of death among people of well- developed countries. In USA, nearly 1.0 million patients with suspected acute MI are admitted each year. This study was performed to determine the epidemiology and prevalence of risk factors and mortality of patients with acute MI. Material & Methods: This retrospective ,descriptive , analytic study was performed on the charts of 1466 patients admitted at Shahid Beheshti hospital of Kermanshah during 1998-1999 with a discharge diagnosis of acute MI. Infarction was established with new ECG changes along with increasing CPK and LHD level. The collected data was analyzed with descriptive statistical methods. Results: Of all the 1466 subjects, 1038 (%70.9) were men and 428 (%22.1) women: Acute MI was more common in men (71 %). Smoking was the first common risk factor ( 45% ) and hypertension was the second (33%) HLP %14 and NIDDM (%12). Antroseptal MI (49%)was the most common type of MI and total hospital mortality was 7/5% which is compatible with international statistics . • Conclusion: Acute myocardial infarction is mostly associated with major risk factors of which smoking and hypertension are more common. Risk factor correction, life style modification and public education are strongly suggested as important factors in prevention of this fatal disease.