STUDY TO KNOW THE CLINICAL FEATURES AND PRESENTATION PATTERN OF MYOCARDIAL INFARCTION AMONG HOSPITALIZED PATIENTS

Objective: To determine the clinical features, characteristics, presentation patterns, and acute MI triggers. Study Design: A Case series. Place and duration: In the Cardiology department of King Abdullah Teaching Hospital, Mansehra for Six months duration from December 2017 to June 2018. Methods: This study included 1,500 patients admitted for acute myocardial infarction. The acute myocardial infarction diagnosis was based on ECG findings, cardiac enzymes and characteristic clinical after other possible alternative diagnosis exclusion. Results: Men were dominant in the study (n = 1080, 72%). The 53 ± 11 years was the mean age at admission. The majority of patients (90%) had typical chest pain and only 10% had atypical symptoms. During the presentation, 81% of the patients had normal examination and only 19% had left ventricular failure (basal crepts, S3 gallop). During the presentation, normal electrographic rhythms were observed in 95% of the patients. Conclusion: Most patients with myocardial infarction are male. Smoking is the main risk factor. Most patients showed typical symptoms over a sufficient period of time. Keywords: AMI, STEMI, NSTEMI, CAD