EPIDEMIOLOGICAL STUDY OF PATIENTS WITH ACUTE MYOCARDIAL INFARCTION IN SEYYED AL SHOHADA HOSPITAL IN URMIA

Acute myocardial infarction (AMI) is the most serious and fatal form of
coronary heart diseases. Despite advances in diagnosis and management, acute myocardial infarction
continues to be a major health problem in the industrialized world and significantly is rising in
developing countries. Various epidemiological studies have been conducted in order to investigate the
causes of dramatic increasing of the heart diseases. This study was conducted to evaluate the
epidemiology of myocardial infarction by age, sex, type of infarction, risk factors, and early mortality
in patients with Acute MI in Seyed al-Shohada hospital in Urmia.
Materials & Methods: This descriptive study was a retrospective analysis being conducted by
referring to the 268 patient records (182 male (67.9%) and 86 female (32.1%)) with a diagnosis of
acute myocardial infarction in the first six months of 2011 in the Educational hospital of Seyed al-
Shohada in Urmia. These patients were hospitalized with the above diagnosis; and during their
hospitalization, the incidence of myocardial infarction, increased cardiac enzymes CK-MB and
Troponin were considered. Then the required data were extracted from their files and were evaluated
by descriptive statistics (frequency).
Results: The results showed that acute myocardial infarction in females (33.72%) and smokers
(64.1%) were more prevalent. After that hypertension (63%) was prevalent. Also, infarction of lower
area of the heart (Inferior) was more common (45.5%). And the mortality rate in the hospital was
7.1%.
Conclusion: Heart disease in male smokers and patients with high blood pressure is common, in both
cases with extensive cultural activities and expanded public awareness can be prevented. Effort toward
reform of major risk factors is of more importance in our society. Hospital mortality, comparable to
the statistics cited in previous studies suggests that appropriate treatment is offered in Seyed al
Shohada hospital in Urmia.