Original Research Article
Year: 2018 | Month: June | Volume: 8 | Issue: 6 | Pages: 164-170
A Study to Assess Precipitating Factors for Onset of Mi among 18-45 Years Patients Admitted with Myocardial Infarction
Shubhangi Jadhav1, Ashok Kalyamshetty2, Prabha Dasila3, P.G.Kerkar4, S Kaul5
1PhD Scholar, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India
2Professor, HOD, General Surgery, MGMIHS, Navi Mumbai, Maharashtra, India
3Professor, Principal, College of Nursing, MGMIHS, Navi Mumbai, Maharashtra, India
4Professor, HOD, Cardiology, KEM Hospital, Mumbai, Maharashtra, India
5Professor, ProVice Chancellor, MGMIHS, Navi Mumbai, Maharashtra, India
Corresponding Author: Shubhangi Jadhav
Introduction: Myocardial infarction (MI) is a serious health problem which causes substantial morbidity and mortality. MI in young adults (≤45yrs) is being increasingly encountered in the recent years, especially among Indians and there is lack of exclusive data from the various regions of India. Paucity of published literature formed the basis of this study. There is scarce data regarding the precipitating factors prior to MI among young adults.
Material and Method: A retrospective observational cross-sectional analytical study was conducted on 100 young adults 18-45yrs who were admitted with their first episode of MI. Data was gathered using semi-structured interview.
Result: Among the participants 91% patients were having typical chest pain. 8% were able to reach hospital before 1hour from the onset of chest pain (mean time was 333.90 minutes). On the basis of ECG findings NSTEMI 6%, AWMI 69%, IWMI 18%, antero-lateral wall MI 2%. Total 83% were having single vessel disease, 6% double vessel disease, 5% multi-vessel disease & 6% with normal coronary angiography. MI was observed more from 6am to 6pm (63.4%) as compared to 80% from 6pm to 6am (p<0.05, chi square 8.757). Among all the subjects 24% were performing moderate to vigorous physical activities prior to onset of chest pain and males were more active than females (chi square 13.988, p<0.05). Total 59% were at home, 21% at workplace, 2% were travelling, 18% were at places like market, playground etc. prior to onset of chest pain 48% were consuming tobacco and only 15% were consuming alcohol. Majority of study participants used public transport to reach the hospital such as taxi (49%), auto (12%), ambulance (11%), bike (8%), train (7%), private car (4%) and some used multiple vehicles. Stressor responsible for the MI reported by patients were job related stressors(10%), family related stressors (10%), oily food related stressors(3%), finance related stressors (5%), health related stressors (4%) and 66% didn’t experienced any stressors, 2% other stressors.
Conclusion: Myocardial infarction is not a random event, but may frequently result from identifiable precipitating activities.
Key words: precipitating factors, Myocardial infarction.