Clinico-Epidemiological Profile of Myocardial Infarction Patients in a Tertiary Care Centre: Insights from the Kumaon Region of Uttarakhand

Abstract

Myocardial Infarction (MI) is a major health concern globally and in the Kumaon region of Uttarakhand, India. This cross-sectional study, conducted from January 2023 to June 2024 at a tertiary care center, examined the clinical and epidemiological profiles of 104 patients diagnosed with ST-Elevation MI (STEMI) or Non-ST-Elevation MI (NSTEMI). The study population included 78.8% males and 21.2% females, with a mean age of 60.18 years. Most patients presented with typical anginal pain (92.3%), while dyslipidemia (62.5%) and tobacco use (52.88%) were the most common risk factors. STEMI accounted for 71.15% of cases, with anterior-lateral wall MI as the predominant subtype. Alarmingly, 57.6% of patients arrived at the hospital beyond the critical 12-hour window for thrombolysis. The findings highlight the burden of MI in males and middle-aged individuals, emphasizing the need for addressing modifiable risk factors and improving public awareness and healthcare access in the region, particularly in hilly areas.