In hospital complications and outcomes in acute ST elevation MI patients at a tertiary care Centre in North India

BackgroundThe mortality rate of acute myocardial infarction has come down considerably in the past three decades. Data showing in hospital mortality and complications and treatment trends in the developing world after first STEMI are scarce in the current era so this study is planned to summarize clinical and demographic characteristics of the patients, their management and in-hospital outcomes.MethodsConsecutive patients (n = 451) with the diagnosis of acute ST segment elevation myocardial infarction admitted in Cardiology Department, SMS Hospital, Jaipur from Aug 2013 to June 2014 were included in this study. The in-hospital mortality and in-hospital complications were analyzed.ResultsThe mean age of study population was 58.02 ± 11.86 years. There were 354 (78.5%) males and 97 (21.5%) females; 324 (71.8%) patients were smokers, 129 (28.6%) patients had hypertension and 153 (33.9%) patients were diabetic. Anterior wall infarction was present in 259 (57.43%) patients, 192 (42.57%) patients had inferior wall infarction and 125 (65.1%) patients had associated right ventricular or posterior wall infarction; 295 patients (65.4%) received thrombolytic therapy while 156 patients were not thrombolyzed due to various reasons. Of the total 451 patients', 83 (18.4%) patients died during in-hospital stay while 368 patients were discharged from the hospital in stable condition after a mean stay of 4.6 ± 1.9 days.ConclusionsThe in-hospital mortality rate of acute ST segment elevation myocardial infarction in this study was 18.4%, which is comparable to reports from the west. However the revascularization rate (thrombolysis or PTCA) remained low and most patients received thrombolysis late.