Key result
Among patients with acute myocardial infarction, smoking was the most prevalent risk factor in males (41.4%) and hypertension in females (67.7%), with males presenting at a median age of 54 years.
Why the study?
In India, CAD manifests earlier in males than in west European and North American males, prompting evaluation of risk factor prevalence and angiographic profiles among MI patients.
Cross-Sectional (n=147)
No
In an Indian cohort, patients presenting with myocardial infarction are predominantly male and present at a younger age compared to Western populations, with smoking and hypertension as the leading risk factors.
May inform targeted prevention in younger Indian males; hypothesis-generating for regional differences versus Western cohorts.
Background: CAD is disease of persons older than 45 years of age. In India, CAD in males, it manifests earlier than west European and North American males. This study is designed to study prevalence of risk factors (and angiographic profiles) amongst patients of Myocardial infarction in our population. Methods: Total of 147 consecutive patients of AMI were studied for risk factors.Results: Out of 147 patients, 116 (79%) were males and 31 (21%) were females. 11 (9.5%) of males and 01 (3.2%) of females were below 40 years of age. Whereas 34 (29.3%) of males and 06 (19.4%) females were of below 50 years of age. Median age for males was 54 years while that for females was 63 years. Smoking remains most prevalent amongst males while high LDL and HT remain most prevalent amongst young and overall females respectively. 108 patients had STEMI while 39 had NSTEMI.Conclusions: AMI occurs much frequently in males. Median age for males is almost one decade earlier than West European males and nearly 5 years earlier than North American males. Smoking is most common and hypertension second most common risk factors amongst males. In females median age for AMI is almost one decade later than Indian males. It is similar to North American females while nearly 5 years earlier than Western Europe females. HT and DM remain first and second common risk factors amongst females.
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Bhavsar et al. (2022) conducted a cross-sectional in Acute Myocardial Infarction (n=147). Cardiovascular risk factors (smoking, hypertension, diabetes, dyslipidemia, obesity) was evaluated on Prevalence of cardiovascular risk factors. Among patients with acute myocardial infarction, smoking was the most prevalent risk factor in males (41.4%) and hypertension in females (67.7%), with males presenting at a median age of 54 years.
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