Key result
Prior bypass surgery is linked to ~4.9-fold higher odds of myocardial infarction.
Why the study?
Myocardial infarction rates are increasing in low middle-income countries like Pakistan due to urbanization and western lifestyle, but determinants in this population are not well characterized.
Cross-Sectional
No
Odds Ratio: 4.87 (95% CI 2.01–11.78)
p-value: p=<0.001
Modifiable lifestyle factors including physical inactivity, smoking, high BMI, and fast-food consumption, as well as rural residence and prior bypass surgery, are strongly associated with myocardial infarction among hospitalized adults in Pakistan.
Cardiovascular diseases are the leading cause of mortality in the world and myocardial infarction (MI) is one of the serious manifestations of ischemic heart disease. The low middle-income countries such as Pakistan are increasing the myocardial infarctions due to urbanization and western lifestyle. This study nvestigates the demographic, lifestyle, dietary, socioeconomic and clinical determinants of myocardial infarction in hospitalized patients in Faisalabad, Punjab. Data were collected using the standardized questionnaire and the medical records. The results indicate that individuals who had myocardial infarction (MI) were older and had higher body mass index (BMI) in comparison with those who did not have MI. Patients with a heart attack were more likely to stay in rural areas, do inadequate physical exercises, smoke, often eat fast food, and had undergone bypass surgeries. In adjusted models, age, rural resident, non-exercise, higher BMI, frequent fast food intake and undergoing bypass surgery were individually related to myocardial infarction. These findings reveal the significance of the changeable risk factors and underscore the necessity of prevention measures that would consider behavioral risks and disparities in the health service access.
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Faisal et al. (2025) conducted a cross-sectional in Myocardial infarction. Prior bypass surgery vs. No prior bypass surgery was evaluated on Myocardial infarction (OR 4.87, 95% CI 2.01-11.78, p=<0.001). Prior bypass surgery, rural residence, and frequent fast-food intake were independently associated with myocardial infarction, with prior bypass surgery conferring nearly a fivefold higher risk (OR 4.87).
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