DOI: 10.36347/sjams.2019.v07i03.087

Pages: 1295-1299

Background: Coronary Artery Disease (CAD) is considered as ‘modern epidemic. Acute myocardial infarction (AMI), an important manifestation of coronary heart disease with multifactorial aetiology. Occurrence of AMI cases are increasing in rural India. Aim: to study clinical presentation of patients admitted with acute myocardial infarction. Material & Methods: Hospital based cross-sectional study was carried out in teaching hospital in rural India. Hundred patients admitted with AMI were included using universal sampling method. Results: Male to female ratio was 2.57: 1. Mean age of onset of first time AMI was 59.21 years. Most common trigger factor was emotional upset (22%). In diurnal variation of occurrence of AMI cases, 2 peaks were observed in morning and evening. Obesity was most common risk factor. Most common location was anterior wall AMI (45%) followed by inferior wall infarct (36%). Incidence of pericarditis was 16% while congestive heart failure was found in 33% cases. Conclusion: Male gender, age, presence of trigger factors, stressful lifestyle and diurnal physiological variations were common precipitating factors. Early identification of symptoms, utilization of electrocardiogram (ECG) and serum markers and prompt treatment can reduce morbidity and mortality in AMI cases.