In a tertiary care hospital setting in India, acute myocardial infarction was associated with a 15% in-hospital mortality rate, primarily driven by cardiogenic shock, and a high incidence of arrhythmias.
Coronary Artery Disease (CAD) remains the major cause of mortality and morbidity of mankind. It is predicted that more than half the worldwide cardiovascular disease risk burden will be borne by Indian sub-continent in the next decade according to a recent epidemiological studies. 1 There is Significant differences in the prevalence of coronary artery disease exist with respect to gender, age and ethnicity. The introduction of coronary care units decreased Acute MI mortality from 30% to 15%; while the use of thrombolytics further decreased it to 5-7%. 2 Prompt reperfusion of the occluded artery through Percutaneous coronary angioplasty or thrombolytic therapy decreases the duration of occlusion leading to improved mortality. 3 In-hospital observation is warranted in patients at increased risk for sudden life threatening complications, such as late ventricular fibrillation, cardiac arrest or re-infarction. Present study is aimed at knowing clinical profile, early complications in AMI and causes for death.
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Nagabhushana et al. (2015) studied this question.
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