title: Clinical and angiographic profile of patients presenting with first acute myocardial infarction in a tertiary care center in northern India.
abstract: OBJECTIVE
  Acute myocardial infarction (AMI) is one of the presentation of coronary artery disease (CAD) and is thought to occur in younger age group in this region. The objective of this study was to evaluate clinical, biochemical and angiographic profile of patients with first acute myocardial infarction.
  
  
  METHODS
  Eight hundred and forty-six consecutive patients who underwent coronary angiography within 4 weeks of MI were included.
  
  
  RESULTS
  Males (n = 705, 83.3%) outnumbered females (n = 141, 16.7%) in each age group. Mean age of presentation was lower in females (58.25 +/- 9.69: 55.74 +/- 10.63). Three hundred and forty-two (40.8%) patients were thrombolyzed. Most common type of MI was anterior wall MI (n = 485, 57.32%). Three hundred and forty (40.4%) were diabetic with females outnumbering males proportionately (females = 63, 44.68%: males = 277, 39.29%). More females were hypertensive (females = 81, 57.45%: males = 306, 43.40%). Prevalence of smoking was quite low (n = 140, 16.50%) and mean age of smokers was less by 7 years than non-smokers. One hundred and forty-two (16.7%) were obese with mean age of presentation less by 7 years than non-obese. Single vessel disease (SVD) was more prevalent (361/846; 42.67%) and was more common in younger, non-diabetics and smokers. Diabetics were more likely to have triple vessel disease (TVD) (n = 112, 32.95%).
  
  
  CONCLUSIONS
  The study reveals that age of first AMI was comparable to that in western world. Females tend to be more hypertensive and diabetics. Younger, non-diabetics and smokers tend to have single-vessel disease. Diabetics and older population were more likely to have diffuse disease (TVD).
authors.affiliation: Dayanand Medical College & Hospital, Unit - Hero DMC Heart Institute, Tagore Nagar, Ludhiana, India.
authors.forename: Naveen
authors.initials: N
authors.lastname: Kumar
authors.forename: Sarit
authors.initials: S
authors.lastname: Sharma
authors.forename: Bishav
authors.initials: B
authors.lastname: Mohan
authors.forename: Abhimanyu
authors.initials: A
authors.lastname: Beri
authors.forename: Naved
authors.initials: N
authors.lastname: Aslam
authors.forename: Naresh
authors.initials: N
authors.lastname: Sood
authors.forename: G S
authors.initials: GS
authors.lastname: Wander
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D017023:Coronary Angiography; D003920:Diabetes Mellitus; D005260:Female; D006801:Humans; D006973:Hypertension; D007194:India / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology; D015995:Prevalence; D012307:Risk Factors