A STUDY ON RISK PROFILE OF ACUTE MYOCARDIAL INFARCTION PATIENTS AT A PERIPHERAL MEDICAL COLLEGE, TAMIL NADU.

Dr. Swarnalatha, MD., *Dr. Rajendran Subramaniam, MD. and Dr. Janani, MBBS

ABSTRACT

A study on risk profile of acute myocardial infarction patients at peripheral Medical College, Tamil Nadu. Importance: Acute myocardial infarction is one of the important causes of mortality. The awareness about its risk factors in the population may help to curb its mortality and morbidity. Aim: To asses the risk profile in acute myocardial infarction patients at peripheral Medical College, Tamil Nadu. Design: Case control study. Setting and Participants: The study was conducted at Government Villupuram Medical College and Hospital, Southern India. A total of 50 patients who presented with acute myocardial infarction confirmed by ECG were enrolled into the study. A detailed history regarding various risk factors like smoking, alcohol intake, hypertension, diabetes, dyslipidemia, obesity was taken. Fifty normal persons without any evidence of coronary artery disease were taken as control subjects and risk factors correlated. Results: A total of 50 case and controls were studied. The risk factors of obesity (p<0.01), smoking(p<0.01), alcohol(p<0.01), diabetes(p<0.01), hypertension(p<0.01), dyslipidemia (p<0.01) were all significant indicating these risk factors have an high influence on incidence of coronary artery disease. Within the study group cases with more than 3 risk factors were found to have earlier incidence of myocardial infarction (71%). Gender based study with the cases also confirmed that comparatively females had later onset of the disease. Conclusion: Creating awareness about risk factors of MI and working towards altering the lifestyle and minimizing the risk factor can invariably prevent MI. The importance of primary prevention and screening of non communicable disease is emphasized.

Keywords: Acute myocardial infarction, risk factors, primary prevention.