Clinical profile of acute myocardial infarction in women.
Three hundred fifty women with acute myocardial infarction who formed 17% of total myocardial infarction cases admitted were studied. Only 7.7% were below 40 years. Infarction occurred mostly (80%) in postmenopausal period. History of previous illness was present in 73% cases. Risk factors were present in majority (75%) of the cases. Common risk factors in Indian women were hypertension in 49% cases and diabetes mellitus in 34% cases. None were using oral contraceptives and it occurred mostly (77%) in multiparous women. Majority (94%) presented with typical chest pain. Premonitory symptoms occurred in only a few patients (14%). Complications occurred more frequently in 40% cases. Mortality rate appears to be high (18%); the commonest cause being cardiogenic shock.
Yavagal
S T
ST
Sri Jayadeva Institute of Cardiology, Bangalore.
Rangarajan
R
R
Prabhavathi
D000328:Adult; D000367:Age Factors; D002423:Cause of Death; D005260:Female; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology* / Q000209:etiology; D011159:Population Surveillance; D017698:Postmenopause; D012307:Risk Factors; D012737:Sex Factors; D016387:Women's Health