Age-related in-hospital mortality among patients with acute myocardial infarction. | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2004]

Author(s):

1. Abdul Rehman Abid: Medical Unit II, Nishtar Hospital, Multan, Pakistan

2. Siraj Munir Ahmed Tarin: Medical Unit II, Nishtar Hospital, Multan, Pakistan

3. Abdul Hameed Anjum: Medical Unit II, Nishtar Hospital, Multan, Pakistan

4. Raja Zafar Ahmed: Department of Cardiology, Nishtar Hospital, Multan, Pakistan

5. Shahid Rafique: Department of Neurology, Nishtar Hospital, Multan, Pakistan

Abstract:

To evaluate the in hospital mortality of acute myocardial infarction among different age groups. A descriptive study conducted at Coronary Care Unit and Cardiology Ward of Nishtar Hospital, Multan from 1st of September 2002 till 10th of April 2003. The subjects were 460 admitted patients of acute myocardial infarction who fulfilled our inclusion criteria. Patients were divided into four age groups. Group-I included patients in 20-40 years, group-II (41-50 years)60 years). Mortality was compared between different age groups by Chi-square and linear regression models. The total in hospital mortality was 16.7%. It gradually increased from 5.6% in group-I (20-40 years) patients to 21% in group-IV (>60 years) patients. While mortality in groups group-II (41-50 years) and group-III (51-60 years) patients was 16.7% and 18.6% respectively. A marked increase in mortality was noted with increase in age. Group-IV (>60 years) patients presented 2 hours late to the hospital than the group-I (20-40 years) patients. There was no satistical difference in site of infarction in different age groups. Old age (group-IV i.e. >60 years old) was more associated with heart failure (higher Killip class) on presentation. Lesser number of patients in group-IV received thrombolytic therapy than group-I. Only 31.09% patients in group-IV and 62.5% patients in group-I received streptokinase therapy respectively. In patients with acute myocardial infarction age was a powerful independent predictor of in hospital mortality and complications.

Page(s): 262-266

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 14, Issue: 5, Year: 2004

Keywords:

Keywords are not available for this article.

References:

References are not available for this document.

Citations

Citations are not available for this document.

Citations

Downloads

Views