Clinical profile and outcome of ST elevation myocardial infarction among women in Southern urban part of India

Abstract

The evaluation of IHD in women presents a unique and sometimes difficult challenge for clinicians, owing to the difference in symptoms, clinical features and mortality as compared to men. This study is to analyse the clinical presentation, complications and outcome in those women who presented with ST Elevation Myocardial Infarction. A descriptive study at the intensive cardiac care unit of Sundaram Arulrhaj Hospitals, Tuticorin, involving urban population, during November 2011 to November 2013 was undertaken. Hundred female patients admitted at cardiac ICU with clinical features and ECG changes suggestive of myocardial infarction, elevated CK-MB and Trop I taken as cases. It was found that the mean age was 60.97 years, 57 showed atypical symptoms which had significant correlation with outcome of disease. Participant having more than one risk factors had diffuse coronary artery disease. It was concluded that the atypical symptoms were found more among participant than typical symptoms of MI. Women with advanced age had a poorer outcome. Atypical symptoms had significant relation with outcome of MI.