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Trends in the Lipid Profile, Mean Age and Fatality of Patients with Myocardial Infarction in the South of Iran from 2008 to 2014

Authors: Sepideh Yadollahi, Hosein Hamadiyan, Fazilat Pour Ashouri, Soghra Fallahi, Afshin Parvizpanah and Sepehr Rasekhi

Int J Med Res Health Sci.221-228 | pdf PDF Full Text

Dyslipidemia is a determinant for the outcome of myocardial infarction (MI). The pattern of dyslipidemia mainly
reflects the mean age and mortality rates of patients with hospitalized MI. This study was carried out to analyze the
trends in the serum lipid levels, mean age and fatality in the south of Iran during the six years (2008-2014). This
cross-sectional study was conducted in 2015 at the Shahid Mohammadi hospital of Bandar Abbas, Iran. All case
records of patients (with 18 years old or more) admitted to the hospital between March 2008 and March 2014 (six
complete Iranian calendar year) with a principal diagnosis of MI were included. Sample size of this study was
calculated and 147 case records were selected by simple random sampling method. A two part checklist was used,
part one for demographic characteristics and part two for special information including blood pressure at
admission, HDL, LDL, TG and Cholesterol. The prevalences of abnormal values for HDL, LDL, TG, Cholesterol,
blood pressure at admission and case fatality were 46.1%, 56.52%, 43.48%, 46.96%, 69.6% and 21.74%,
respectively. There are two significant associations between fatality of MI and TG during 2008 to 2010 (P = 0.021)
and also between the case fatality of MI and LDL during 2010 until 2014 (P = 0.043). Hypertension was
independent from the other variables and also no oriented trends were observed in the mean ages of hospitalized
patients with MI in this project. The managements and prevention strategies used to manage lipid profile, fatality
and incidence of MI in patients, were not successful in recent years.

Keywords: Myocardial Infarction; Trends; Dyslipidemias; Mortality

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