A prospective study of myocardial infarction patients admitted in a tertiary care hospital of south-eastern rajasthan.

Abstract

Background: There is a paucity of data on the relative importance of various traditional risk factors for coronary artery disease among rural Indians. We conducted a prospective study to determine the risk factors for acute myocardial infarction in a rural population of south-eastern Rajasthan. Objective: To access the prevalence and risk factors of myocardial infarction (MI) admitted to S.R.G Hospital, Jhalawar and provide a baseline for deriving effective preventive measures of risk factors for the local community Method: Study was conducted in S.R.G. Hospital intensive care unit in Jhalawar Medical College in year 2011 on 112 patients. Criteria for diagnosis of myocardial infarction for all patients were Electrocardiogram (ECG), troponin test, Creatine phosphokinase (CPK) blood level, lipid profile and blood sugar. The Institutional Ethics Committee’s approval was obtained before starting the study.Consent was taken from all the patients included. All the datas were collected from case record of patients and determined and charted in an excel sheet. Simple frequencies and percentages were obtained for various variables. Results: Interpretation of results shows 70% of MI cases were from rural population of Jhalawar, in age group between 40-70 years and most of the patients are laborers and male farmers.Most common risk factor found was smoking and tobacco 55.4% followed by dyslipidemia and hypertension.Location wise most common type of myocardial infarction encountered was anterior wall myocardial infarction (AWMI). Conclusion: Observation from our study shows incidence of myocardial infarction is alarmingly high in rural population of Jhalawar because of poor dietary habit, smoking and tobacco chewing.