A study of clinical presentation and delays in management of acute myocardial infarction in community.
To assess the medico social demographics of acute myocardial infarction (AMI) in our community we studied 609 patients presenting between January 2008 to December 2008 with a detailed questionnaire in four centres of UP. Medical attention was sought late (> 6 hours) in 316 (51.6%), thrombolysis was obtained in 45.2% (275) and presentation was atypical in 16.3% (99). 36.2% (221) had pre-monitory symptoms of which 68% (150) ignored the same while of 32% (71) who did seek medical attention 47.9% (37) were brushed away as non-cardiac in origin. 20.3% (46/226) of hypertension, 23.2% (43/185) of diabetes and 83.4% (91/109) of hyperlipidaemia was diagnosed post event. We conclude that at least half of patients with AMI do not get definitive therapy, at least one in 10 patients do not have the classical symptoms, reasonable proportion are unaware of their risk factors, and a good majority have pre-monitory symptoms which get overlooked.
Professor and Head, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow.
Pravin K
PK
Goel
Saurabh Kumar
SK
Srivastava
Fauzia
F
Ashfaq
P R
PR
Gupta
P C
PC
Saxena
Rajeev
R
Agarwal
Sudeep
S
Kumar
Naveen
N
Garg
Satyendra
S
Tewari
Aditya
A
Kapoor
D000328:Adult; D057210:Delayed Diagnosis; D005260:Female; D006801:Humans; D007194:India; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors