::INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES::

CODEN : IAJPBB
issn 2349-7750

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TITLE:

INCIDENCE OF MODIFIABLE RISK FACTORS AFTER MYOCARDIAL INFARCTION AND TWELVE MONTHS FOLLOW-UP

AUTHORS:

Dr Muhammad Umair Akram, Dr Abdur Rehman Ilyas , Dr Kanza Huma Zia Hashmi

ABSTRACT:

Aim: To determine the frequency of modifiable risk factors for coronary heart disease after the first MI and after one year of follow-up. Study design: A Prospective study Place and duration: In the Department of Cardiology, Jinnah Hospital Lahore for one year duration from February 2019 to February 2020. Methodology: The study included 200 cases with typical chest pain and significant ECG changes or a specific increase in serum cardiac enzymes. We recorded demographic data, including age, gender, weight, height and other independent patient variables, in a pre-determined form. Traditional cardiovascular risk factors have been observed (smoking, hypertension, diabetes, dyslipidemia, sedentary lifestyle, obesity). All of these patients were regularly monitored and data on variable risk factors were re-recorded after twelve months. Data were analyzed using SPSS version 10. Results: 25% (n = 250) per 1000 registered patients did not participate in follow-up. In the remaining 75% (n = 750) of cases 64% (n = 480) were men with an average admission age of 57 ± 07. The main variable risk factors documented during acute myocardial infarction were diabetes (48%), hypertension (46%) and smoking (45%). After 12 months, the incidence of poor glycemic control was 18%. Lack of accessibility was the main problem (34% of patients) underlying poor disease control and related risk factors. Conclusion: Variable risk factors for coronary artery disease can be better controlled in the majority of patients who undergo regular follow-up. Failure to comply with treatment, lack of affordable prices, and lack of proper medical advice are identifiable etiologies in a group of patients who do not have sufficient control over these risk factors. Keywords: MI, CAD, NSTEMI, STEMI