Risk Stratification of Acute Myocardial Infarction in Rural Women
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 4
Abstract
Introduction: The prevalence of coronary heart disease (CHD) is rapidly increasing in India. Cardiovascular disease, especially, CHD is a major contributor to mortality and morbidity in India. Epidemiological transition, with increase in life expectancy and demographic shifts of population, age - profile, combined with life style-related changes increases in levels of cardiovascular risk factors accelerates the CHD epidemic in India. Aim: This study is aimed at risk stratification of acute myocardial infarction in women on admission and assesses the role of modifiable and non-modifiable risk factors in women. Materials and Methods: Sixty female patients were included in the study. While most of the patients were evaluated prospectively, in case of a few patients who expired soon after admission, the data were analyzed retrospectively. Results: Diabetes mellitus, hypertension (HTN), and hypercholesterolemia were seen highly in this study group. 68% of women were used tobacco, 60% had family history of disease. Isolated systolic HTN, obesity, and tobacco chewing shown high-mortality rate in the study group. Conclusion: All high-risk women with coronary disease should receive optimal medical management, and be considered for coronary angiography with possible revascularization if their coronary anatomy warrants it.
Authors and Affiliations
S Selvamuthukumaran
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