title: Pattern of acute myocardial infarction in a district hospital in Brunei Darussalam--a pilot study.
abstract: The objective of the authors was to study the pattern of presentation, risk factors, and natural course of acute myocardial infarction in the general population of Belait District in Brunei Darussalam. A prospective study was done of 100 consecutive cases of acute myocardial infarction admitted to the coronary care beds of a District General Hospital. The patients were followed up to 12 weeks after admission to hospital. There were three times more males than females (75 males, 25 females). Nine cases out of 75 males were below the age of 40 years, 3 being below 30 years. The mean age of the male denominator was 57.4 years while that of the female counterpart was 67.48 years showing a mean difference of 10.08 years. There were significant association with hypertension (31%), smoking (30%) and diabetes mellitus (27%). The majority of the patients had prodromal symptoms, the most common presenting symptoms were chest pain (63%) and shortness of breath (27%). Only 4% of the patients had silent infarction. Acute myocardial infarction is common in Brunei forming 2.6% of all the patients admitted to the medical wards and the relative rate is 3 times higher in males than in females. There is significant association of IHD with 3 main risk factors namely hypertension, smoking and diabetes mellitus.
authors.affiliation: Division of Cardiology, Suri Seri Begawan Hospital, Kuala Belait, Brunei Darussalam.
authors.forename: V J
authors.initials: VJ
authors.lastname: Sebastian
authors.forename: F
authors.initials: F
authors.lastname: Khan
authors.forename: H A
authors.initials: HA
authors.lastname: Aisah
authors.forename: P M
authors.initials: PM
authors.lastname: Rosnah
authors.forename: S
authors.initials: S
authors.lastname: Ray
authors.forename: S
authors.initials: S
authors.lastname: Bhattacharya
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006767:Hospitals, District; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000453:epidemiology* / Q000208:ethnology; D010865:Pilot Projects; D012307:Risk Factors; D012846:Singapore / Q000453:epidemiology