Association between activity at onset of symptoms and complications of St-segment elevation myocardial infarction in Erbil teaching hospital

Abdulkareem Othman; Baha’ddin Abdulkareem

doi:10.15218/zjms.2012.0004

Authors

Abdulkareem Othman Department of Internal Medicine, College of Medicine, Hawler Medical University, Erbil,Iraq
Baha’ddin Abdulkareem Department of Internal Medicine, College of Medicine, Hawler Medical University, Erbil,Iraq

DOI:

https://doi.org/10.15218/zjms.2012.0004

Keywords:

Activity, Acute myocardial infarction

Abstract

Background and objectives: It is controversial whether the onset of myocardial infarction occurs randomly or is precipitated by identifiable stimuli. The aim of this study is to emphasise the relationship of exercise, rest and bed related onset ST-segment elevation myocardial infarction with subsequent in-hospital complications.

Methods: The study has been done perspectively having collecting data from those patients whom had been admitted from 1^st of November 2008 till 1^st of June 2009 to the Coronary Care Unit (CCU) in Hawler Teaching Hospital in Erbil city. The study had included one hundred twenty one patients (84 men, 37 women) whom they exhibited a newly developed ST-segment elevation myocardial infarction (STEMI) over the chronological age ranged from (35-86), mean age (56.76±11.12). Transthoracic echocardiography had been employed over 88 recently admitted patients whose in-hospital complications were precisely being clarified and recorded. The onset of pain of acute myocardial infarction whether during exercise, rest or during sleep (bed) has been verified and studied.

Results: Patients whose symptoms of STEMI began at rest, or bed had higher incidence of early acute mitral regurgitation (26, 59.1%), (13,65%) respectively versus exercise related STEMI onset(8,33.3%)p value=0.04.

Conclusion: Early echocardiographic examination is recommended especially to patients having had physical body rest in order to detect early bed-related onset STEMI and to diagnose complications like acute mitral regurgitation.

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