MỘT SỐ ĐẶC ĐIỂM CỦA BỆNH NHÂN NHỒI MÁU CƠ TIM CẤP TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ THEO THỂ TRẠNG THỪA CÂN BÉO PHÌ

Abstract

Background: Acute myocardial infarction (AMI) is a complex cardiovascular condition influenced by multiple risk factors, among which overweight and obesity are significant and warrant attention. Objective: To investigate the characteristics of AMI patients at Can Tho Central General Hospital based on overweight and obesity status. Materials and Methods: A cross-sectional descriptive study was conducted on 164 AMI patients (82 with overweight/obesity and 82 without) diagnosed between January 2023 and June 2024. Results: Male patients accounted for 70.1%; the group ≥ 60 years old was dominant with 72.6%; 53.7% of patients had dyslipidemia. The most common cardiovascular risk factors were hypertension (86.6%), diabetes (21.9%), and the least was physical inactivity (3.7%). 55.5% of patients had ST-elevation myocardial infarction, 44.5% had non-ST-elevation myocardial infarction. Killip class 1 (88.4%), Killip class 4 accounted for the lowest proportion (4.3%). 40.2% of the group were in the high-risk stratification, 43.9% were in the intermediate risk group, and 15.9% were in the low-risk group. The characteristics of dyslipidemia and Killip class were noted to have a statistically significant difference between the 2 groups with and without overweight and obesity (p<0.05). Conclusion: Only lipid disorders and Killip classification were noted to differ between the 2 groups with and without overweight and obesity.