Current Status of Dyslipidemia in Patients of Acute Myocardial Infarction And their Treatment Outcome in Bangladesh

ABSTRACT

Background: Dyslipidemia is one of the modifiable risk factorsof acute myocardial infarction which is caused by presence ofabnormal amount of lipid in blood.Objective: In this study our main goal is to evaluate the statusof dyslipidemia in patients of acute myocardial infarction andtheir treatment outcome in Bangladesh.Method: This cross-sectional prospective observational type ofstudy was conducted among 200 purposively selected patientsof acute myocardial infarction attended in CardiologyDepartment of NICVD, for treatment to see their pattern ofdyslipidemia and treatment outcome during January 2011 toDecember 2011. Study subjects were selected from admittedpatient at emergency department and at in-patient departmentof the Cardiology Department with acute coronary syndrome.Fasting lipid profile in next morning of admission was done andassessed. Dyslipidemia was considered according to ATP IIIguideline with Serum Total cholesterol > 200 mg/dl, TG>150mg/dl, LDL >100 mg/dl, HDL. Collected information waschecked repeatedly. Information was collected by theresearchers.Results: During the study, male patients were 58% higher thanfemale and most of them belongs to 51-60 years age group(40%).77% patients had dyslipidaemia and after treatment 57%patients got discharged.Conclusion: We can conclude that hypertriglyceridemia andhypercholesterolemia are the most prevalent dyslipidemia inpatients of acute myocardial infarction in Bangladesh. Furtherresearch, in particular longitudinal studies, is needed for betteroutcome.