Clinical Profile of Patients With ST-Elevation Myocardial Infarction in the Kurdistan Region of Iraq: A Cross-Sectional Study
DOI:
https://doi.org/10.22317/jcms.v12i1.2099Keywords:
Acute Coronary Syndrome, ST Elevation Myocardial Infarction, Percutaneous Coronary Intervention, Time FactorsAbstract
Objectives: This study aimed to analyze the clinical presentation of STEMI among patients admitted to Zakho Emergency Teaching Hospital.
Methods: This prospective observational study was conducted at Zakho Emergency Teaching Hospital in the Kurdistan Region of Iraq. A total of 200 patients were enrolled between June 2024 and June 2025. Inclusion criteria included all individuals undergoing percutaneous coronary intervention (PCI) for STEMI, regardless of age or gender. Patients who underwent coronary angiography solely for assessment were excluded.
Results: Among 200 patients, 161 were male (80.5%), and 39 were female (19.5%). Most patients (52.5%) were aged 46 to 60 years. In terms of medical history, 37.0% had diabetes, 40.5% had hypertension, 57.5% were smokers, 27.5% reported a positive family history of myocardial infarction, and 8% had a previous history of heart disease. Diabetic patients experienced longer durations of chest pain and greater delays in hospital presentation (P < 0.001). Previous heart disease (p = 0.187), hypertension (p = 0.23), and the affected myocardial wall (p = 0.38) did not significantly affect time to presentation.
Conclusion: Diabetic patients were more likely to present later than two hours after symptom onset. Early presentation in cases of myocardial infarction is critical for timely treatment and effective management.
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