To determine three months clinical outcomes after stelevated myocardial infarction treated with fibrinolysisamong patients with less years of education | [Pakistan Heart Journal • 2018]

Author(s):

1. Yasir Hayat: Department of Cardiology, NorthWest General Hospital, Peshawa, Pakistan

2. Adeel Alam: Department of Cardiology, NorthWest General Hospital, Peshawa, Pakistan

3. Muhammad Zaheer Ullah Babar: Department of Cardiology, NorthWest General Hospital, Peshawa, Pakistan

4. Muhammad Habeel Dar: Department of Cardiology, Khyber Teaching Hospital Peshawar, Pakistan

5. Farooq Ahmad: Department of Cardiology, Khyber Teaching Hospital Peshawar, Pakistan

6. Hikmatullah Jan: Department of Cardiology, Lady Reading Hospital Peshawar, Pakistan

Abstract:

Objective: To determine the frequency of three months mortality among patients with less than 8 years of education after acute myocardial infarction treated with fibrinolysis. Methodology: This cross sectional study was conducted at Department of Cardiology, Lady Reading Hospital Peshawar from 16th April to 16th Oct 2013. Both male and female patients aged 18 years and above admitted with STEMI fulfilling inclusion criteria, were included in the study. Patients were divided into 2 groups on the basis of education whether less than or more than 8 years. Patients were subjected to detailed history and clinical examination. All patients were observed for mortality rate in 24 hours and in-hospital mortality (after 24 hours of hospital stay). Remaining patients were followed for 3 months mortality. Results: A total of 482 patients who suffered acute STEMI and were treated with fibrinolysis were studied. The mean age was 60 ±13.81 years . Among these males were 298 (61.8%).The frequency of 24 hours, in hospital and 3 months mortality after STEMI treated with fibrinolysis in Group A(<8 years of education) and Group B(>8 years of education) were 7.5% vs 2.5% , 13.9% vs 4.5% and 16.4 % vs 7.0% respectively. The outcomes were statistically not significant for gender. Conclusion: Level of education is a predictor of mortality after STEMI treated withfibrinolysis. Mortality after acute myocardial infarction is high in less educated patients.

Page(s): 37-44

DOI: DOI not available

Published: Journal: Pakistan Heart Journal, Volume: 51, Issue: 2, Year: 2018

Keywords:

Inhospital mortality , 24hours mortality , ST elevated Myocardial Infarction , 3 months mortality , years of education

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