Key result
Acute myocardial infarction carries ~18% in-hospital mortality, with frequent complications predominantly among hypertensive patients.
Observational (n=631)
No
This retrospective study of 631 acute MI patients in Tashkent highlights a high burden of comorbidities (particularly hypertension at 86.5% and pre-existing CHF at 77.3%), an 85.7% complication rate, and an 18.2% in-hospital mortality rate, alongside critical gaps in routine troponin and lipid testing.
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High complication and mortality rates in acute MI signal need for vigilance in similar cohorts; leaves open generalizability and outcome drivers.
This retrospective study analysed 631 medical records of patients treated for acute myocardial infarction (MI) at City Clinical Hospital No. 7 in Tashkent between 2017 and 2020. MI was more frequent in men (62.3%) and in patients older than 60 years (61.2% versus 38.8% in those under 60). Primary MI accounted for 79.4% of cases and anterior localisation for 67.4%. MI developed on a background of hypertension in 86.5% of patients, type 2 diabetes in 22.2%, obesity in 17.6% and a history of stroke in 12.2%. Complications were recorded in 85.7% of patients, most commonly arrhythmias (36.9%), pulmonary oedema (35.3%) and cardiogenic shock (13.2%). In-hospital mortality was 18.2% (n=115); more than half of the deceased were older than 60 years, and 52.2% of deaths occurred on the first day of illness. Troponin testing (15.8%) and lipid profiling (16.0%) were performed in a minority of patients, which indicates gaps in diagnostic completeness.
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Karimov et al. (2026) conducted an observational in Acute myocardial infarction (n=631). Acute myocardial infarction hospitalization was evaluated on In-hospital mortality. Patients hospitalized with acute myocardial infarction experienced an 85.7% rate of in-hospital complications and an 18.2% in-hospital mortality rate, predominantly on the background of hypertension.
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