Key result
Among patients admitted with acute myocardial infarction in Libya, diabetes (48.2%), smoking (50.6%), and hypertension (35.7%) were the most common risk factors, with an in-hospital mortality rate of 17.7%.
Observational (n=622)
No
This study highlights a high prevalence of diabetes and smoking among Libyan patients presenting with acute myocardial infarction, along with underutilization of thrombolytic therapy in certain high-risk subgroups.
May guide regional prevention priorities in Libya; leaves open impact of risk factor control on AMI outcomes.
The aim of this study was to provide an overview of the risk factors for acute myocardial infarction in patients attending Tripoli Medical Centre, Libya. Records were reviewed for 622 patients with a mean age of 58.3 (SD 12.9) years. Diabetes mellitus (48.2%), hypertension (35.7%) and smoking (50.6%) were among the risk factors reported. There were 110 patients (17.7%) who died during hospitalization, mainly suffering cardiogenic shock (48.0%). The rate of use of thrombolytic therapy was low in patients who were female (40.4% versus 58.4% for males), older age (31.6% for those > 85 years versus 63.3% for patients < 55 years), diabetics (45.3% versus 62.0% for non-diabetic patients) and hypertensives (47.3% versus 57.8% for non-hypertensive patients). Prevention strategies should be implemented in order to improve the long-term prognosis and decrease overall morbidity and mortality from coronary artery disease in Libyan patients.
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Abduelkarem et al. (2012) conducted an observational in Acute myocardial infarction (n=622). Among patients admitted with acute myocardial infarction in Libya, diabetes (48.2%), smoking (50.6%), and hypertension (35.7%) were the most common risk factors, with an in-hospital mortality rate of 17.7%.
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