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OBJECTIVE: To determine the risk factors of acute myocardial infarction (AMI) among adults aged >40 years.METHODS: A sample containing 100 cases and 200 controls were se-lected consecutively. Inclusion criteria for cases were patients with AMI, aged 40 years and above; while controls had patients with normal ECG interpretation, aged 40 years and above. Both genders (male/ females) were included as cases and controls. Patients with multiple admissions, with coma or critical condition or those who refused to participate in the study were excluded.RESULTS: Among 300 subjects, there were 156 males (52%) and 144 females (48%). Majority of subjects (52%) belonged to 40-50 years of age group. Thirty-one percent subjects were over-weight. Majority was non-smokers and carried out exercise. Majority (67.7%) also reported normal cholesterol levels. Among them, 111 (37%) were hyperten-sive, 23% diabetic, while 51.66% reported stress in their previous life. Males were more likely to develop AMI versus females (OR=3.09, 95%CI=1.50-3.10). Age group 40-50 years was also highly associated with AMI (OR=5.36, 95%CI=2.70-10.72). Patients who were smokers, with positive family history of cardiac diseases, hyper-cholesterol levels, hypertension, diabetes, stress and having no physical activity were more likely to develop AMI versus their controls.CONCLUSION: This study found that age group 40–50 years, male gender, over-weight, stress, hypertension and positive family history are the major risk factors for acute AMI in the study population and most of these risk factors are modifiable.
Bakhtyar Ali Shah, Imdad Ali Khushk. (2017) RISK FACTORS IN ACUTE MYOCARDIAL INFARCTION PATIENTS ADMITTED AT THREE HEALTH CENTRES OF SINDH, PAKISTAN:A CASE CONTROL STUDY, KHYBER MEDICAL UNIVERSITY JOURNAL, Volume 9, Issue 1.
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