Clinical characteristics of patients with myocardial infarction treated in the regional hospital of Radomszczanski District in 2007-2009
Autor: | Rafał Gawor, Zenon Gawor, Grzegorz Piotrowski, Jarosław Krawczyk |
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Rok vydání: | 2013 |
Předmět: |
Adult
Male medicine.medical_specialty Population Hypercholesterolemia Myocardial Infarction Comorbidity Risk Factors Internal medicine Diabetes mellitus Atrial Fibrillation medicine Humans Myocardial infarction Obesity Renal Insufficiency Chronic education Stroke Aged Aged 80 and over education.field_of_study Inpatients business.industry ST elevation Incidence (epidemiology) Incidence Smoking Atrial fibrillation Middle Aged medicine.disease Diabetes Mellitus Type 2 Hypertension Cardiology Female Poland Cardiology and Cardiovascular Medicine business |
Zdroj: | Kardiologia polska. 72(10) |
ISSN: | 1897-4279 |
Popis: | Background: Cardiovascular diseases are responsible for about 50% of deaths in Poland. The clinical picture of coronary heart disease has been changing over recent years. Aim: To assess the changes of the clinical characteristics of myocardial infarction (MI) in the population of Radomszczanski District in 2007–2009. Methods: The retrospective analysis included 756 patients aged between 29 and 93 years (306 women), who were hospitalised due to MI in the Department of Cardiology, District Hospital in Radomsko from 1 January 2007 to 31 December 2009. The following parameters were analysed: frequency of ST elevation MI (STEMI) and non ST elevation MI (NSTEMI) hospitalisations in subsequent years, age, gender, traditional risk factors (hypertension, diabetes, obesity, hypercholesterolaemia, hypertriglyceridaemia, smoking), comorbidities (atrial fibrillation, previous stroke and MI, chronic renal insufficiency) and all-cause in-hospital mortality. Results: Observations have shown that during 2007–2009 the number of hospitalised STEMI increased (p = 0.011) while the number of hospitalised NSTEMI decreased (p = 0.011). The incidence of hypertension, diabetes, obesity, and dyslipidaemia did not change over the three years analysed (p > 0.05). In Radomszczanski District, compared to the Polish population, hypertension, obesity and previous MI occurred less frequently, especially in patients with NSTEMI. The incidence of smokingand diabetes was comparable to that in the Polish population with MI. Frequency of risk factors did not change over three years. Conclusions: Despite the increase of the hospitalised STEMI/NSTEMI ratio, the incidence of risk factors did not change in the population of Radomszczanski District over the analysed period. |
Databáze: | OpenAIRE |
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