Document Detail

Descriptive epidemiology of cases of acute myocardial infarction in Tobago.
MedLine Citation:
PMID:  20043534     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: The goal of this study is to identify co-morbidities associated with acute myocardial infarction in Tobago. METHODS: This was a longitudinal retrospective study of myocardial infarction at the Tobago Regional Hospital in two selected periods: January 2007 to April 2007 and January 2008 to April 2008. Data were retrieved from the patients' medical records. These included co-morbid conditions eg hypertension, diabetes mellitus, dyslipidaemia, ESRD, whether history of smoking or cocaine use and if any prior care. In the former period, 11 cases were confirmed as having myocardial infarction and 27 cases in the latter period. RESULTS: In 2007 and 2008, all cases had dyslipidaemia (LDL > 100 mg/dL) and were hypertensive. There were 36.4% of cases in 2007 that had diabetes mellitus, compared to 33.3% cases in 2008 and 9.1% had chronic kidney disease in 2007, compared to 25.9% in 2008. CONCLUSION: The most common co-morbidities associated with acute myocardial infarction in Tobago are dyslipidaemia, hypertension and diabetes mellitus, with ESRD, smoking and cocaine use less so. Many of these patients had never received prior care.
R Alfred; O Okeke; C Moronu; V Elliot; A Frankson; E N Barton
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The West Indian medical journal     Volume:  58     ISSN:  0043-3144     ISO Abbreviation:  West Indian Med J     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2010-01-01     Completed Date:  2010-02-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0417410     Medline TA:  West Indian Med J     Country:  Jamaica    
Other Details:
Languages:  eng     Pagination:  257-60     Citation Subset:  IM    
Department of Medicine, The University of the West Indies, Kingston 7, Jamaica, West Indies.
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MeSH Terms
Cocaine / administration & dosage,  adverse effects
Diabetes Mellitus / epidemiology
Dyslipidemias / complications,  epidemiology
Hypertension / complications,  epidemiology
Kidney Failure, Chronic / complications,  epidemiology
Longitudinal Studies
Middle Aged
Myocardial Infarction / diagnosis,  epidemiology*
Retrospective Studies
Smoking / adverse effects,  epidemiology
Trinidad and Tobago / epidemiology
Reg. No./Substance:

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