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 46
- Downloads 0
Resistant Widespread Facial Impetigo in a Healthy Infant with Atopic Dermatitis
ABSTRACT Atopic Dermatitis (AD) or eczema is a chronic and relapsing, itchy skin inflammatory condition in infancy and childhood. The diagnosis is based on pruritus and an eczematous dermatitis with typical presentation....
Shear Bond Strength Evaluation of Composite Resin Bonded to Nickel Chromium Alloy
ABSTRACT Introduction: In modern dentistry, as the patient’s demand for aesthetic dentistry increases, the use of tooth-coloured restorative material increase correspondingly. One among them is the use of Porcelain Fused...
Association between Socioeconomic Status and Diabetes Mellitus: The National Socioeconomics Survey, 2010 and 2012
Introduction: The prevalence of Diabetes Mellitus (DM) is increasing, globally. However, studies on the association between Socioeconomic Status (SES) factors and DM have mostly been conducted in specific areas with rath...
Shigella sonnei Sepsis in an Infant: A Case Report
Shigella bacteraemia is a complication of gastroenteritis caused by Shigella spp. which occurs mainly in immunocompromised children. Other risk factors may include young malnourished children, patients with chronic disea...
Curious Case of Myocardial Infarction Caused by Lung Abscess
ABSTRACT Lung abscess is a necrotizing infection of lung parenchyma with pus collection usually due to pyogenic organism. Embolic complications involving cardiac structures are extremely rare. Type 2 Myocardial Infarctio...