Risk factors, clinical features and outcome of acute myocardial infarction in Sana´a, Yemen

JANOUŠEK, Stanislav, Mohamed AL-KUBATI a Kamal A. AL-SHWAFI. Risk factors, clinical features and outcome of acute myocardial infarction in Sana´a, Yemen. Annals of Saudi Medicine. Riyadh, 2008, roč. 28, č. 3, s. 223-224. ISSN 0256-4947.

Základní údaje

• Originální název: Risk factors, clinical features and outcome of acute myocardial infarction in Sana´a, Yemen
• Autoři: JANOUŠEK, Stanislav (203 Česká republika, garant, domácí), Mohamed AL-KUBATI (203 Česká republika, domácí) a Kamal A. AL-SHWAFI (887 Jemen).
• Vydání: Annals of Saudi Medicine, Riyadh, 2008, 0256-4947.

Další údaje

• Originální jazyk: angličtina
• Typ výsledku: Článek v odborném periodiku
• Obor: 30201 Cardiac and Cardiovascular systems
• Stát vydavatele: Saúdská Arábie
• Utajení: není předmětem státního či obchodního tajemství
• Impakt faktor: Impact factor: 0.600
• Kód RIV: RIV/00216224:14110/08:00050972
• Organizační jednotka: Lékařská fakulta
• UT WoS: 000257556000016
• Klíčová slova anglicky: Acute myocardial infarction - Risk factors - Cardiovascular disease - Sana'a Yemen
• Příznaky: Mezinárodní význam

Anotace

Of all patients, 348 (90.2%) were men with a mean (+/- SD) age 54 +/- 11 years (range, 27-82 years) and 38 (9.8%) were women with a mean age of 59 +/- 11 years (range, 38-80 years). Almost all patients (97.9%) were Yemeni. The prevalence of risk factors was as follows: khat chewing (88%), smoking (81%), total serum cholesterol (29%), diabetes mellitus (25%) and hypertension (18%). When classified according to site, recurrence and severity of AMI, in 57.0% there was an anterior infarction, in 35.2% an inferior infarction,in 7.0% an inferoseptal infarction, in 1.8% a lateral infarction and location was undetermined in 2.5%. Only 34 (8.8%) patients had a previous history of AMI; in 352 (91.2%) patients, it was the first AMI. In 341 (88.3%) it was a Q-wave infarction while a non Q-wave infarction was found in 35 (9.1%) and in 10 (2.6%) it was undetermined. The complications of AMI were heart failure in 94 cases (24.6%), primary ventricular fibrillation or tachycardia in 18 cases (4.7%), and second or third degree atrioventricular block in 17 (4.4%). The ICU mortality rate was 11.4% (44 patients) and the total in-hospital mortality was 14.2% (55 patients). Causes of death during hospitalization were cardiogenic shock (62%), sudden death (18%), resistant arrhythmia (13%), brain embolization (5%), and hypoxic brain damage after CPR (2%).

Anotace česky

Of all patients, 348 (90.2%) were men with a mean (+/- SD) age 54 +/- 11 years (range, 27-82 years) and 38 (9.8%) were women with a mean age of 59 +/- 11 years (range, 38-80 years). Almost all patients (97.9%) were Yemeni. The prevalence of risk factors was as follows: khat chewing (88%), smoking (81%), total serum cholesterol (29%), diabetes mellitus (25%) and hypertension (18%). When classified according to site, recurrence and severity of AMI, in 57.0% there was an anterior infarction, in 35.2% an inferior infarction,in 7.0% an inferoseptal infarction, in 1.8% a lateral infarction and location was undetermined in 2.5%. Only 34 (8.8%) patients had a previous history of AMI; in 352 (91.2%) patients, it was the first AMI. In 341 (88.3%) it was a Q-wave infarction while a non Q-wave infarction was found in 35 (9.1%) and in 10 (2.6%) it was undetermined. The complications of AMI were heart failure in 94 cases (24.6%), primary ventricular fibrillation or tachycardia in 18 cases (4.7%), and second or third degree atrioventricular block in 17 (4.4%). The ICU mortality rate was 11.4% (44 patients) and the total in-hospital mortality was 14.2% (55 patients). Causes of death during hospitalization were cardiogenic shock (62%), sudden death (18%), resistant arrhythmia (13%), brain embolization (5%), and hypoxic brain damage after CPR (2%).