School of Medicine, Qom University of Medical Sciences, Qom, Iran , mehr2257@gmail.com
Abstract: (146 Views)
Background & aim: Despite significant advancements in the treatment of cardiovascular diseases, the prevalence of these diseases is on the rise in developing countries. Knowing the risk factors and other aspects related to these diseases can help to prevent the occurrence, and to also treat these patients faster and with a more efficient diagnosis. The present study aimed to investigate the risk factors, clinical manifestations and the para-clinical findings in patients with ST-segment elevation myocardial infarction in Shahid Beheshti Hospital, Qom, in 2022 and 2023. Methods: This cross sectional descriptive and analytical study was carried out using patients' files. The study included 208 patients with ST-segment elevation myocardial infarction referred to Shahid Beheshti Hospital, Qom. The data collection form included four sections: demographic variables, risk factors, clinical manifestations, and para-clinical findings. A P<0.05 was considered statistically significant in this study. Results: Most patients were male (78.4%) with a mean ± SD age of 58.05 ± 12.06. The most common clinical manifestation was chest pain (80.8%), and the most common risk factors were overweight and obesity, history of hypertension and smoking. Elevations in the levels of troponin and creatine phosphokinase as cardiac markers for myocardial infarction, and blood glucose and blood pressure were observed. The mean ± SD of the left ventricle ejection fraction was reported as 39.54 ± 10.05%. Conclusion: Understanding the higher incidence of myocardial infarction in men, and in the sixth decade of life, can help to identify the main target groups for comprehensive planning in the prevention and control of myocardial infarction. In addition, identifying overweight, obesity, hypertension, and smoking as the most common risk factors for heart attacks could play an important role to establish an efficient prevention program.