Etio-clinical profile and coronary angiographic characteristics of rural patients with acute inferior wall myocardial infarction
Background: Epidemiological transition is leading to an increased burden of cardiovascular disease among rural populations. Aim: The study evaluated the etio-clinical profile, prevalence, angiographic characteristics, and correlates of inferior wall myocardial infarction (IWMI). Materials and Method...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Heart India |
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| Online Access: | https://journals.lww.com/10.4103/heartindia.heartindia_43_24 |
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| author | Bijay Prakash Yadav Amitesh Nagarwal Poonam Kushwaha Sundeep Mishra Manna Bhattacharjee |
| author_facet | Bijay Prakash Yadav Amitesh Nagarwal Poonam Kushwaha Sundeep Mishra Manna Bhattacharjee |
| author_sort | Bijay Prakash Yadav |
| collection | DOAJ |
| description | Background:
Epidemiological transition is leading to an increased burden of cardiovascular disease among rural populations.
Aim:
The study evaluated the etio-clinical profile, prevalence, angiographic characteristics, and correlates of inferior wall myocardial infarction (IWMI).
Materials and Methods:
This was an institution-based, cross-sectional study among 103 consecutive patients. Regression analysis was done to find the correlates of IWMI.
Results:
The mean age was 59.14 ± 11.65 years. The study consisted of 86.4% males. 86 (83.5%) were smokers and 12 (11.7%) were alcoholics. 30 (29%) were hypertensive and 33 (32%) were diabetic. 41 (39.8%) had a family history of hypertension and an abnormal lipid profile. The mean body mass index was 23.09 ± 3.62 kg/m2. The mean systolic blood pressure and diastolic blood pressure were 127.23 ± 30.71 mmHg and 77.98 ± 15.83 mmHg, respectively. 4 (3.9%) had COVID-19 disease and 102 (99%) were vaccinated for it. The total occlusion of the vessel was found among 71 (68.9%) subjects. Single-vessel disease was the most prevalent condition – 39 (37.9%). Proximal site occlusion was found among 62 (60.2%) of subjects. Sinus bradycardia was present among 44.7% of subjects. Age (adjusted odds ratio [aOR] =0.89, 95% CI: [0.82–0.97]), COVID-19 disease (aOR =0.011, 95% CI: [2.11e–0.58]), history of hypertension (aOR =11.18, 95% CI: [1.25–99.65]), and sinus bradycardia (aOR =10.41, 95% CI: [1.22–88.63]) were significant predictor of inferior wall ST-segment elevation myocardial infarction (IWSTEMI). The most frequent complication was rhythm disturbances.
Conclusion:
More than four of five were smokers and rhythmic disturbances were present in nearly one-fifth of subjects. Young age, male sex, hypertension, COVID-19 disease, and sinus bradycardia were significant predictors of IWSTEMI. |
| format | Article |
| id | doaj-art-8038799fe3d348cc86a5b1e01bfecc04 |
| institution | Kabale University |
| issn | 2321-449X 2321-6638 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Heart India |
| spelling | doaj-art-8038799fe3d348cc86a5b1e01bfecc042025-01-08T12:22:30ZengWolters Kluwer Medknow PublicationsHeart India2321-449X2321-66382024-12-0112313514010.4103/heartindia.heartindia_43_24Etio-clinical profile and coronary angiographic characteristics of rural patients with acute inferior wall myocardial infarctionBijay Prakash YadavAmitesh NagarwalPoonam KushwahaSundeep MishraManna BhattacharjeeBackground: Epidemiological transition is leading to an increased burden of cardiovascular disease among rural populations. Aim: The study evaluated the etio-clinical profile, prevalence, angiographic characteristics, and correlates of inferior wall myocardial infarction (IWMI). Materials and Methods: This was an institution-based, cross-sectional study among 103 consecutive patients. Regression analysis was done to find the correlates of IWMI. Results: The mean age was 59.14 ± 11.65 years. The study consisted of 86.4% males. 86 (83.5%) were smokers and 12 (11.7%) were alcoholics. 30 (29%) were hypertensive and 33 (32%) were diabetic. 41 (39.8%) had a family history of hypertension and an abnormal lipid profile. The mean body mass index was 23.09 ± 3.62 kg/m2. The mean systolic blood pressure and diastolic blood pressure were 127.23 ± 30.71 mmHg and 77.98 ± 15.83 mmHg, respectively. 4 (3.9%) had COVID-19 disease and 102 (99%) were vaccinated for it. The total occlusion of the vessel was found among 71 (68.9%) subjects. Single-vessel disease was the most prevalent condition – 39 (37.9%). Proximal site occlusion was found among 62 (60.2%) of subjects. Sinus bradycardia was present among 44.7% of subjects. Age (adjusted odds ratio [aOR] =0.89, 95% CI: [0.82–0.97]), COVID-19 disease (aOR =0.011, 95% CI: [2.11e–0.58]), history of hypertension (aOR =11.18, 95% CI: [1.25–99.65]), and sinus bradycardia (aOR =10.41, 95% CI: [1.22–88.63]) were significant predictor of inferior wall ST-segment elevation myocardial infarction (IWSTEMI). The most frequent complication was rhythm disturbances. Conclusion: More than four of five were smokers and rhythmic disturbances were present in nearly one-fifth of subjects. Young age, male sex, hypertension, COVID-19 disease, and sinus bradycardia were significant predictors of IWSTEMI.https://journals.lww.com/10.4103/heartindia.heartindia_43_24determinantsinferior wall myocardial infarctionright coronary arterysmokers |
| spellingShingle | Bijay Prakash Yadav Amitesh Nagarwal Poonam Kushwaha Sundeep Mishra Manna Bhattacharjee Etio-clinical profile and coronary angiographic characteristics of rural patients with acute inferior wall myocardial infarction Heart India determinants inferior wall myocardial infarction right coronary artery smokers |
| title | Etio-clinical profile and coronary angiographic characteristics of rural patients with acute inferior wall myocardial infarction |
| title_full | Etio-clinical profile and coronary angiographic characteristics of rural patients with acute inferior wall myocardial infarction |
| title_fullStr | Etio-clinical profile and coronary angiographic characteristics of rural patients with acute inferior wall myocardial infarction |
| title_full_unstemmed | Etio-clinical profile and coronary angiographic characteristics of rural patients with acute inferior wall myocardial infarction |
| title_short | Etio-clinical profile and coronary angiographic characteristics of rural patients with acute inferior wall myocardial infarction |
| title_sort | etio clinical profile and coronary angiographic characteristics of rural patients with acute inferior wall myocardial infarction |
| topic | determinants inferior wall myocardial infarction right coronary artery smokers |
| url | https://journals.lww.com/10.4103/heartindia.heartindia_43_24 |
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