Fatal Myocardial Infarction: A Retrospective Autopsy Study
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 1
Abstract
Abstract Introduction: Myocardial infarction is one of the complications of Coronary Artery Disease (CAD). Recent study has shown that the incidence of acute myocardial infarction is on the increase in developing countries such as Nigeria. Autopsy based studies have proven to be a reliable and valuable method for studying this disease. Aim: To determine the prevalence and morphological pattern of fatal myocardial infarction resulting from CAD in our centre. Materials and Methods: This was an eight year (January 2008 to December 2015) retrospective study of all autopsy cases in which death was caused by myocardial infarction. The age, sex, percentage of occlusion of each artery, weight of the heart and evidence of old infarction and any accompanying illness were all recorded. Results: A total of 79 cases of myocardial infarction were seen out of 8334 autopsies. This represents 0.9%. The age ranged from 27 to 80 years with mean age of 57±10 years. Males and females constituted 22.8% and 77.2% respectively with a male to female ratio of 1: 3.4. The highest incidence of myocardial infarction occurred in the sixth decade while the lowest occurred before the third decade. The most common vessel involved was the Left Anterior Descending (LAD) coronary artery. Only 48.1% and 64.6 % of study population had accompanying old myocardial scars and hypertensive heart disease respectively. Fewer subjects had accompanying diabetes mellitus. Conclusion: A prevalence of 0.9% was seen in this study. We also observed more myocardial infarction in women than in men.
Authors and Affiliations
Sunday Sokunle Soyemi, Francis Adedayo Faduyile, Fadesewa Ibiolagbajosi Osuolale
Keywords
Related Articles
- EP ID EP506229
- DOI 10.7860/JCDR/2018/31550.11064
- Views 51
- Downloads 0
Factors Influencing Mothers to Initiate Early Complementary Feeding in Darjeeling, West Bengal
Introduction: More than half of the infants are started on complementary feed before six months. Perception of Inadequate Milk supply (PIM) remains one of the most frequent causes of early institution of complementary fe...
Antibiotic Resistance in Community Acquired Urinary Tract Infection in Children: Data from a Tertiary Center in Eastern India
ABSTRACT Introduction: Antibiotic resistance is an increasing global problem which hampers appropriate treatment of Urinary Tract Infection (UTI) in paediatric population, rendering the developing kidneys vulnerable for...
Tumour Budding and MMP-2 Expression in Breast Invasive Ductal Carcinoma
ABSTRACT Introduction: Breast cancer is a major cause of cancer death among females. Tumour buds are clusters of undifferentiated malignant cells (one cell to less than or equal to five cells) at the invasive front of a...
Clinical Competency in Pulse Oximetry among Medical Professionals and Nursing Personnel in a Tertiary Care Hospital
ABSTRACT Introduction: Pulse oximetry is used for monitoring of patient care with early and reliable detection of hypoxemia. Inadequate knowledge amongst medical and nursing personnel can lead to reduced patient safety ....
Study of Treatment Pattern and Treatment Satisfaction with its Impact on Quality of Life among Psoriasis Patients
ABSTRACT Introduction: Psoriasis is an immune mediated dermatological disorder affecting physical, psychological and social functioning of the individual. Aim: This study explored the pattern of drug use, quality of life...