Clinical and biochemical factors associated with acute myocardial infarction: Risk factors for acute myocardial infarction

摘要

Because acute myocardial infarction (ami) frequently occurs suddenly without any preceding clinical symptoms, the prediction of ami is clinically of great importance. the principal element of the pathogenesis of ami is the rupture of coronary atherosclerotic plaques rather than gradual progression of atherosclerosis to complete occlusion. Identification of factors concerned with plaque rupture should therefore enable to predict the risk of AMI. Two hundred AMI patients compared to 250 healthy controls. Higher diastolic blood pressure (DBP), systolic blood pressure (SBP), triglyceride, total cholesterol, LDL-cholesterol, HDL-cholesterol and fasting glucose were also shown in AMI patients group. In logistic regression analysis, smoking, hypertension (HTA) and diabetes were significant independent predictors of AMI. The patients with 1VD with multi-vessel disease with stenoses in one coronary vessels were the most frequent (33.3%), and approximately 90% of patients had a critical arterial occlusion (>90%) in coronary vessels. Due to our limited sample size our findings require confirmation in larger cohortes.