ACUTE MYOCARDIAL INFARCTION CLINICAL DATA REGISTRY: AN EFFORT TO PROMOTE CLINICAL FEEDBACK AND QUALITY IMPROVEMENT FOR ACUTE MYOCARDIAL INFARCTION

Abstract

Objective: To evaluate the clinical characteristics and in hospital outcomes of the patients with acute
myocardial infarction in tertiary care cardiac hospital.
Study Design: Descriptive cross-sectional study.
Place and Duration of Study: Adult Cardiology Department of Armed Forces Institute of Cardiology &
National Institute of Heart Diseases, from 1st January 2015 till 31st August, 2015.
Material and Methods: All the patients presenting with acute myocardial infarction during the study period
were included. Acute myocardial infarction registry by R & D Department was used as a data collection tool.
Results: Total 829 patients presented with acute myocardial infarction during our study duration. Males were
704(84.9%) while females were 125 (15.1%). Mean age of the patients was found to be 61.56 ± 2.19 years. Acute
myocardial infarction was most prevalent in the age group 58-75 years. The most common symptom with
which patients presented was angina 682 (82.1%).Patients with ST segment elevated MI (STEMI) were 702
(84.6%) while anterior wall myocardial infarction was the most common STEMI site 456 (64.8%). Injection
Streptokinase was given to 255 (30.7%) patients with mean door to needle time 20 ± 2.1 minutes. Primary
percutaneous intervention (PCI) was performed to the 447 (55%) of the patients, with mean door to balloon
time 55 ± 1.5 minutes.
Conclusion: Acute myocardial infarction (MI) remains a leading cause of morbidity and mortality. Early
management of MI can increase the life expectancy and quality of life of the patients.