Assessment of risk factors in cardiac failure after myocardial infarction
DOI:
https://doi.org/10.18203/2320-6012.ijrms20181962Keywords:
Cardiac failure, Co morbid conditions, Post myocardial infarction, Sedentary lifestyleAbstract
Background: Cardiac failure is a clinical syndrome that may result from any structural or functional cardiac disorders that impairs the pumping ability of the heart. Post infarction cardiac failure is one of the common complications of Acute Myocardial Infarction which is influenced by factors like extent of MI, Life style, associated co-morbid conditions.
Methods: The present study comprises of 50 cardiac failure patients with history of MI in the past and who presented with myocardial infarction with cardiac failure were included in this study. This study was conducted at Rajivgandhi Institute of Medical Sciences, Kadapa, YSR District, Andhra Pradesh. The study was carried out for a period of 2 years. Informed consent was taken from each and every patient included in the study.
Results: In our study 42 (84%) are males and 8 (16%) are females. Out of 50 patients 37 (74%) are smokers and 32 (64%) are alcoholics. In our study maximum number of patients i.e. 60% of the patients are sedentary in nature. Among 42 male patients 28 are having WHR >0.9 and 8 female patients WHR >0.8 is quite significant.
Conclusions: Post MI cardiac failure is more common in males and sedentary lifestyles. Smoking, alcohol consumption and associated co morbid conditions have linear relationship with incidence of post infarction Cardiac failure. Abdominal obesity has positive effect on incidence of post MI cardiac failure.
Metrics
References
Cowie MR, Zaphiriou A. Management of chronic heart failure. Bmj. 2002 Aug 24;325(7361):422-5.
Cowie MR, Lacey LA, Tabberer M. Heart failure after myocardial infarction: a neglected problem. Br J Cardiol. 2005;12(3):205-8.
Burke AP, Virman R. Pathology of myocardial ischemia, infarction, reperfusion, and sudden death. Hurst's The Heart, 12th ed. New York: McGraw-Hill. 2008:1333-1334.
Fuster V, Walsh RA, Harrington RA. Risk factors for development of Heart Failure. HURST’s The Heart. 12th ed. 2007:720.
Solomon SD, Zelenkofske S, McMurray JJ, Finn PV, Velazquez E, Ertl G, et al. Sudden death in patients with myocardial infarction and left ventricular dysfunction, heart failure, or both. New England J Medicine. 2005 Jun 23;352(25):2581-8.
Watson RD, Gibbs CR, Lip GY. ABC of heart failure: clinical features and complications. BMJ: British Medical J. 2000 Jan 22;320(7229):236.
Braunwald’s Heart Disease: a text book of cardiovascular medicine. 7th ed. The chest radiography in cardiovascular disease. 2008:271- 86.
O'Rourke M. Subacute heart rupture following myocardial infarction: clinical features of a correctable condition. Lancet. 1973 Jul 21;302(7821):124-6.
Khot UN, Jia G, Moliterno DJ, Lincoff AM, Khot MB, Harrington RA, et al. Prognostic importance of physical examination for heart failure in non–ST-elevation acute coronary syndromes: the enduring value of Killip classification. JAMA. 2003 Oct 22;290(16):2174-81.
Lewis EF, Moye LA, Rouleau JL, Sacks FM, Arnold JM, Warnica JW, et al. Predictors of late development of heart failure in stable survivors of myocardial infarction: the CARE study. J Am Coll Cardiol. 2003 Oct 15;42(8):1446-53.