TO DETERMINE THREE MONTHS CLINICAL OUTCOMES AFTER ST ELEVATED MYOCARDIAL INFARCTION TREATED WITH FIBRINOLYSIS AMONG PATIENTS WITH LESS YEARS OF EDUCATION

Abstract

Objective: To determine the frequency of three months mortality among patientswith less than 8 years of education after acute myocardial infarction treated withfibrinolysis. Methodology: This cross sectional study was conducted at Department ofCardiology, Lady Reading Hospital Peshawar from 16 April to 16 Oct 2013.Both male and female patients aged 18 years and above admitted with STEMIfulfilling inclusion criteria, were included in the study. Patients were divided into 2groups on the basis of education whether less than or more than 8 years. Patientswere subjected to detailed history and clinical examination. All patients wereobserved for mortality rate in 24 hours and in-hospital mortality (after 24 hours ofhospital stay). Remaining patients were followed for 3 months mortality. Results: A total of 482 patients who suffered acute STEMI and were treated withfibrinolysis were studied. The mean age was 60 ±13.81 years . Among thesemales were 298 (61.8%).The frequency of 24 hours, in hospital and 3 monthsmortality after STEMI treated with fibrinolysis in Group A(<8 years of education)and Group B(>8 years of education) were 7.5% vs 2.5% , 13.9% vs 4.5% and16.4 % vs 7.0% respectively. The outcomes were statistically not significant forgender. Conclusion: Level of education is a predictor of mortality after STEMI treated withfibrinolysis. Mortality after acute myocardial infarction is high in less educatedpatients. Key Words: ST elevated Myocardial Infarction, years of education, 24hoursmortality, In-hospital mortality, 3 months mortality.