Smoking and Hypertriglyceridemia Predict ST-Segment Elevation Myocardial Infarction in Kosovo Patients with Acute Myocardial Infarction.

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL

Clinics and Practice Pub Date : 2024-06-17 DOI:10.3390/clinpract14030091

Afrim Poniku, Arlind Batalli, Dua Shita, Zarife Rexhaj, Arlind Ferati, Rita Leka, Artan Bajraktari, Genc Abdyli, Edmond Haliti, Pranvera Ibrahimi, Rona Karahoda, Shpend Elezi, Faik Shatri, Ibadete Bytyçi, Michael Henein, Gani Bajraktari

{"title":"Smoking and Hypertriglyceridemia Predict ST-Segment Elevation Myocardial Infarction in Kosovo Patients with Acute Myocardial Infarction.","authors":"Afrim Poniku, Arlind Batalli, Dua Shita, Zarife Rexhaj, Arlind Ferati, Rita Leka, Artan Bajraktari, Genc Abdyli, Edmond Haliti, Pranvera Ibrahimi, Rona Karahoda, Shpend Elezi, Faik Shatri, Ibadete Bytyçi, Michael Henein, Gani Bajraktari","doi":"10.3390/clinpract14030091","DOIUrl":null,"url":null,"abstract":"Background: Myocardial infarction (MI), presented as ST-segment elevation MI (STEMI) and non-ST-segment elevation MI (NSTEMI), is influenced by atherosclerosis risk factors.Aim: The aim of this study was to assess the patterns of presentation of patients with acute MI in Kosovo.Methods: This was a cross-sectional study conducted at the University Clinical Center of Kosovo, which included all patients hospitalized with acute MI over a period of 7 years.Results: Among the 7353 patients admitted with acute MI (age 63 ± 12 years, 29% female), 59.4% had STEMI and 40.6% had NSTEMI. The patients with NSTEMI patients less (48.3% vs. 54%, p < 0.001), but more of them had diabetes (37.8% vs. 33.6%, p < 0.001), hypertension (69.6% vs. 63%, p < 0.001), frequently had a family history of coronary artery disease (CAD) (40% vs. 38%, p = 0.009), and had more females compared to the patients with STEMI (32% vs. 27%, p < 0.001). The patients with NSTEMI underwent less primary percutaneous interventions compared with the patients with STEMI (43.6% vs. 55.2%, p < 0.001). Smoking [1.277 (1.117-1.459), p ˂ 0.001] and high triglycerides [0.791 (0.714-0.878), p = 0.02] were independent predictors of STEMI.Conclusions: In Kosovo, patients with STEMI are more common than those with NSTEMI, and they were mostly males and more likely to have diabetes, hypertension, and a family history of CAD compared to those with NSTEMI. Smoking and high triglycerides proved to be the strongest predictors of acute STEMI in Kosovo, thus highlighting the urgent need for optimum atherosclerosis risk control and education strategies.","PeriodicalId":45306,"journal":{"name":"Clinics and Practice","volume":"14 3","pages":"1149-1158"},"PeriodicalIF":1.7000,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11202547/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinics and Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3390/clinpract14030091","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Myocardial infarction (MI), presented as ST-segment elevation MI (STEMI) and non-ST-segment elevation MI (NSTEMI), is influenced by atherosclerosis risk factors.

Aim: The aim of this study was to assess the patterns of presentation of patients with acute MI in Kosovo.

Methods: This was a cross-sectional study conducted at the University Clinical Center of Kosovo, which included all patients hospitalized with acute MI over a period of 7 years.

Results: Among the 7353 patients admitted with acute MI (age 63 ± 12 years, 29% female), 59.4% had STEMI and 40.6% had NSTEMI. The patients with NSTEMI patients less (48.3% vs. 54%, p < 0.001), but more of them had diabetes (37.8% vs. 33.6%, p < 0.001), hypertension (69.6% vs. 63%, p < 0.001), frequently had a family history of coronary artery disease (CAD) (40% vs. 38%, p = 0.009), and had more females compared to the patients with STEMI (32% vs. 27%, p < 0.001). The patients with NSTEMI underwent less primary percutaneous interventions compared with the patients with STEMI (43.6% vs. 55.2%, p < 0.001). Smoking [1.277 (1.117-1.459), p ˂ 0.001] and high triglycerides [0.791 (0.714-0.878), p = 0.02] were independent predictors of STEMI.

Conclusions: In Kosovo, patients with STEMI are more common than those with NSTEMI, and they were mostly males and more likely to have diabetes, hypertension, and a family history of CAD compared to those with NSTEMI. Smoking and high triglycerides proved to be the strongest predictors of acute STEMI in Kosovo, thus highlighting the urgent need for optimum atherosclerosis risk control and education strategies.

查看原文本刊更多论文

吸烟和高甘油三酯血症可预测科索沃急性心肌梗死患者的 ST 段抬高型心肌梗死。

背景：心肌梗死（MI）分为ST段抬高型心肌梗死（STEMI）和非ST段抬高型心肌梗死（NSTEMI），受动脉粥样硬化风险因素的影响：这是一项在科索沃大学临床中心进行的横断面研究，研究对象包括7年来因急性心肌梗死住院的所有患者：在 7353 名急性心肌梗死住院患者（年龄为 63 ± 12 岁，29% 为女性）中，59.4% 患有 STEMI，40.6% 患有 NSTEMI。NSTEMI患者人数较少（48.3%对54%，P＜0.001），但其中糖尿病（37.8%对33.6%，P＜0.001）和高血压（69.6%对63%，P＜0.001）患者较多，经常出现冠状动脉疾病（CAD）家族史（40%对38%，P=0.009），女性患者人数多于STEMI患者（32%对27%，P＜0.001）。与 STEMI 患者相比，NSTEMI 患者接受初级经皮介入治疗的比例较低（43.6% 对 55.2%，P < 0.001）。吸烟[1.277 (1.117-1.459), p ˂ 0.001]和高甘油三酯[0.791 (0.714-0.878), p = 0.02]是 STEMI 的独立预测因素：在科索沃，STEMI 患者比 NSTEMI 患者更常见，他们大多为男性，与 NSTEMI 患者相比，更有可能患有糖尿病、高血压和 CAD 家族史。在科索沃，吸烟和高甘油三酯被证明是预测急性 STEMI 的最有力因素，因此迫切需要采取最佳的动脉粥样硬化风险控制和教育策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinics and Practice MEDICINE, GENERAL & INTERNAL-

CiteScore

2.60

自引率

4.30%

发文量

审稿时长

10 weeks