Assessment of Prognosis in Myocardial Infarction: Norris Coronary Prognostié Index Versus QRS Scoring System

Abstract

MATERIALS AND METHODS: All patients of acute transmural myocardial infarction, irrespective of age and sex, admitted in coronary care unit of Rawalpindi General Hospital, Rawalpindi, during the period of 1st January to 30th April, 1982, who fulfilled the criteria for selection, as discussed in our previous study (4) were included. RESULTS: 40 Patients fulfilled the criteria for selection and were included in study. The age range in 35 male patients (87.5%) was from 28-71 years and in 5 females (12.5%) it was 48-70 years. The mean age in total, male and female patients 52.89 ± 10.89 years, 52 ± 10.80 years and 62.6 ± 9.15 years, respectively. 7 patients (17.5%) belonged to rural area and 33 patients (82.5%) were residents of urban area. According to occupation 17 (42.5%) were Government servants, 13 (32.5%) were businessmen or shopkeepers, 5 12.5%) were housewives, 3 .7.5%) were farmers and 2 (5%) were taxi drivers. While there was no statistically significant difference for prediction of prognosis in various groups of C.P.I. or individual factors. DISCUSSION: The mean, age, sex and smoking habits of the patients in this study are in accordance to the literature (8, 8, 10, 11). Only 7 patients (17.5%) belong to the rural area, as was observed also in another study (9) while only 3 patients (7.5%) was farmer, indicating the disease association with civilization and sedentary life style, or the representation from the rural population is under estimated due to obvious socio-economic factors hindering villagers to get medical advice.