Impact Of Body Mass Index On In-Hospital Mortality In Patients Presenting With Acute ST Elevation Myocardial Infarction

Authors

  • Farhan Umair Senior Registrar
  • Kiran Iftikhar Sheikh Punjab Institute of Cardiology, Lahore
  • Nimra Ashraf Punjab Institute of Cardiology, Lahore
  • Azhar Saeed Multan Medical and Dental College, Multan
  • Hafiz Rashid Ali Punjab Institute of Cardiology, Lahore
  • Muhammad Usman Khalid Multan Medical and Dental College, Multan

DOI:

https://doi.org/10.55958/jcvd.v18i1.93

Keywords:

Body mass index, ST elevation myocardial infarction, in-hospital mortality, underweight, normal, overweight, obese

Abstract

Introduction: Obesity raises the risk of cardiovascular disease, the clinical result of acute cardiovascular events may be better in people with a high body mass index (BMI).

Aims and Objective: The objective of the study was to compare the frequency of in-hospital mortality in underweight, normal, overweight and obese patients presenting with acute ST elevation myocardial infarction.

Material and methods: From September 2017 to February 2018, a descriptive case series was held at the Cardiology Ward of the Punjab Institute of Cardiology in Lahore. A total of 350 patients who met the eligibility requirements were enrolled. Then height and weight were noted and BMI was calculated. The patients were followed-up for 5 days after STEMI. If patient died within hospital stay, then in-hospital mortality was labeled.

Results: The mean age of patients was 57.94±13.62 years. There were 177 (50.6%) males and 173 (49.4%) females.  160 (45.7%) patients were diabetic while 190 (54.3%) were non-diabetic. The mean BMI of patients was 25.36±5.66 kg/m2. In-hospital mortality occurred in 11 (22.4%) underweight patients, in 8 (7.1%) patients who had normal BMI, in 11 (10.9%) who were overweight while in 9 (10.2%) who were obese. The significant difference was observed and underweight patients had high in-hospital motility (p<0.05).

Conclusion: The frequency of in-hospital mortality was high in underweight patients as compared to normal, overweight or obese patients.

Key words: Body mass index, ST elevation myocardial infarction, in-hospital mortality, underweight, normal, overweight, obese

Author Biographies

Kiran Iftikhar Sheikh, Punjab Institute of Cardiology, Lahore

Senior Registrar Cardiology

Nimra Ashraf, Punjab Institute of Cardiology, Lahore

Post Graduate Resident Cardiology

Azhar Saeed, Multan Medical and Dental College, Multan

Associate Professor of Medicine

Hafiz Rashid Ali, Punjab Institute of Cardiology, Lahore

Senior Registrar Cardiology

Muhammad Usman Khalid, Multan Medical and Dental College, Multan

Assistant Professor of Physiotherapy

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Published

2022-05-31

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Section

Articles