Clinical profile, risk factors and short term outcome of acute myocardial infraction in females: A hospital based study

Introduction: Coronary heart Disease (CHD) though primarily considered to be man′s disease, it is also a leading cause of mortality and morbidity in middle aged women throughout world. Coronary manifestations occurs approximately 20 years later in women as compared to men and may have atypical prese...

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Main Authors: Manish Sahni, Rajesh Kumar, Surinder Thakur, Rajeev Bhardwaj
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Heart India
Subjects:
Online Access:http://www.heartindia.net/article.asp?issn=2321-449x;year=2013;volume=1;issue=3;spage=73;epage=77;aulast=Sahni
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author Manish Sahni
Rajesh Kumar
Surinder Thakur
Rajeev Bhardwaj
author_facet Manish Sahni
Rajesh Kumar
Surinder Thakur
Rajeev Bhardwaj
author_sort Manish Sahni
collection DOAJ
description Introduction: Coronary heart Disease (CHD) though primarily considered to be man′s disease, it is also a leading cause of mortality and morbidity in middle aged women throughout world. Coronary manifestations occurs approximately 20 years later in women as compared to men and may have atypical presentations. The poor prognosis in women due CHD has been attributed to advanced age , concomitant medical illnesses, late presentation because of atypical presentations, ignorance of seriousness of the disease and delayed treatment. Materials and Methods: 80 consecutive female patients admitted in the department of Medicine and cardiology of Indira Gandhi Medical college Shimla from 1 st June 2008 to 31 st May 2009 were included in the study informed consent , demographic profile and risk factors were recorded. After focused clinical examination biochemical investigations such as RBS, Hb A1C, Lipid profile, 12 lead electrocardiogram and echocardiography etc. was done. Results: total 80 patients included in the study had mean age of 62.7 ± 13.6 years. The majority of females between the of age 61-70 years constituted 50% 0f study population. Dyslipidemia was the commonest risk factor followed by obesity, smoking ,hypertension and diabetes. Chest pain was the common presenting feature with atypical pain chest in 25% of females. Conclusion: CHD is a under diagnosed undertreated and under researched disease in women for various reasons and it is more age dependent in women than in men. The primary care physicians, paramedics posted in peripheral institutes′ should be appraised about the clinical profile ,risk factors of CHD in females so that effective therapy can be instituted in time to decrease subsequent morbidity and mortality.
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spelling doaj.art-bf8eec67f3254c73ae8ecd5c767f565e2022-12-21T18:11:14ZengWolters Kluwer Medknow PublicationsHeart India2321-449X2013-01-0113737710.4103/2321-449x.122780Clinical profile, risk factors and short term outcome of acute myocardial infraction in females: A hospital based studyManish SahniRajesh KumarSurinder ThakurRajeev BhardwajIntroduction: Coronary heart Disease (CHD) though primarily considered to be man′s disease, it is also a leading cause of mortality and morbidity in middle aged women throughout world. Coronary manifestations occurs approximately 20 years later in women as compared to men and may have atypical presentations. The poor prognosis in women due CHD has been attributed to advanced age , concomitant medical illnesses, late presentation because of atypical presentations, ignorance of seriousness of the disease and delayed treatment. Materials and Methods: 80 consecutive female patients admitted in the department of Medicine and cardiology of Indira Gandhi Medical college Shimla from 1 st June 2008 to 31 st May 2009 were included in the study informed consent , demographic profile and risk factors were recorded. After focused clinical examination biochemical investigations such as RBS, Hb A1C, Lipid profile, 12 lead electrocardiogram and echocardiography etc. was done. Results: total 80 patients included in the study had mean age of 62.7 ± 13.6 years. The majority of females between the of age 61-70 years constituted 50% 0f study population. Dyslipidemia was the commonest risk factor followed by obesity, smoking ,hypertension and diabetes. Chest pain was the common presenting feature with atypical pain chest in 25% of females. Conclusion: CHD is a under diagnosed undertreated and under researched disease in women for various reasons and it is more age dependent in women than in men. The primary care physicians, paramedics posted in peripheral institutes′ should be appraised about the clinical profile ,risk factors of CHD in females so that effective therapy can be instituted in time to decrease subsequent morbidity and mortality.http://www.heartindia.net/article.asp?issn=2321-449x;year=2013;volume=1;issue=3;spage=73;epage=77;aulast=SahniAcute coronary syndromeCoronary heart diseaseNSTEMISTEMIdyslipidemia
spellingShingle Manish Sahni
Rajesh Kumar
Surinder Thakur
Rajeev Bhardwaj
Clinical profile, risk factors and short term outcome of acute myocardial infraction in females: A hospital based study
Heart India
Acute coronary syndrome
Coronary heart disease
NSTEMI
STEMI
dyslipidemia
title Clinical profile, risk factors and short term outcome of acute myocardial infraction in females: A hospital based study
title_full Clinical profile, risk factors and short term outcome of acute myocardial infraction in females: A hospital based study
title_fullStr Clinical profile, risk factors and short term outcome of acute myocardial infraction in females: A hospital based study
title_full_unstemmed Clinical profile, risk factors and short term outcome of acute myocardial infraction in females: A hospital based study
title_short Clinical profile, risk factors and short term outcome of acute myocardial infraction in females: A hospital based study
title_sort clinical profile risk factors and short term outcome of acute myocardial infraction in females a hospital based study
topic Acute coronary syndrome
Coronary heart disease
NSTEMI
STEMI
dyslipidemia
url http://www.heartindia.net/article.asp?issn=2321-449x;year=2013;volume=1;issue=3;spage=73;epage=77;aulast=Sahni
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