ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BỆNH NHÂN NHỒI MÁU CƠ TIM CẤP TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ NĂM 2022 - 2024

Abstract

Background: Myocardial infarction accounts for 14% of global deaths and is the main cause of reduced survival years (TLLs) and disability-adjusted life years (DALYs). Objective: Describe clinical and paraclinical characteristics in 2 groups of patients with acute myocardial infarction with dyslipidemia and without dyslipidemia at Can Tho Central General Hospital. Materials and methods: Cross-sectional descriptive study on 128 patients diagnosed with acute myocardial infarction undergoing coronary angiography at Can Tho Central General Hospital. Results: The study recorded that 80.5% of patients had typical symptoms of chest pain, 38.3% of patients were hospitalized before 6 hours after onset, 84.4% had Killip grade I upon admission. Hypertension and diabetes are cardiovascular risk factors with the highest proportion (85.9% and 28.9%). Acute non-ST elevation myocardial infarction accounts for the majority with 62.5%. ECG recorded 40.6% of large anterior myocardial infarctions, echocardiography recorded 22.7% of regional movement disorders and 33.6% of diastolic dysfunction. Conclusion: Except for gender, diabetes and ST elevation, the remaining clinical and paraclinical characteristics have not recorded statistically significant differences between 2 groups of patients with acute myocardial infarction with dyslipidemia and without dyslipidemia.