Acute myocardial infarction: In hospital mortality of consecutive 275 parents

ABSTRACT

OBJECTIVE: To highlight the mortality in various groups of acute myocardial infarction. DESIGN: Retrospective study. SETTING: Coronary care Unit DHQ Hospital Faisalabad. PERIOD January 1995 to December 1995. PATIENTS AND METHODS: Total number of patients were 275, males 223, Female 52. Mean age was 54.85 +/- 13.57 years, mean age of males was 53.52 +/- 13.61 and for females 60.55 +/- 11.91 years. Presented with typical chest pain of Ischaemic heart disease for more than 30 minutes. Diagnosed by history, physical examination, 12 lead electrocardiography and rise of cardiac enzymes. From the 275 patients, 102 were from inferior wall, 109 from anteroseptal and 64 were from extensive anterior wall myocardial infarction. Forty two [15%] patients expired during hospital stay, 13[12.74%], 14[12.80%] and 15[23.40%] patients expired from inferior, anteroseptal and extensive anterior wall myocardial infarction respectively. CONCLUSIONS: Mortality associated with acute anteroseptal MI and extensive anterior wall myocardial infarction was significantly higher, so these patients be monitored and managed more aggressively