Original article
English
Vitthal D. Maheshwari, Moussa E. Moussa, Nasser Y. El-Zouki, Fakhri Hassadi, Mrutunjay Behra
Al-Arab Wedical University, Libya, Benghazi
Ann Saudi Med. 1990 May, 10:303-307
Abstract
All cases of acute myocardial infarction among Libyans admitted to the coronary care unit (CCU) from January I to December 31, 1986, were analyzed regarding incidence, associated risk factors, infarction patterns, arrhythmias, blocks and hemodynamic complications, and in-hospital fatalities. The extensive health care system of Benghazi ensured nearly complete inclusion of cases. The one-year incidence of 73 per 100,000 population for those aged 40 years and older was 112 for men and 30 for women per 100,000. This figure is very low compared to that for developed countries. The most common associated risk factor was smoking in males and diabetes mellitus in females. The overall incidence of arrhythmias (including disturbance of rhythm and conduction) was 87.5%. Complete heart block was observed in 10% of the cases. Cardiogenic shock occurred in 6.3%, and in-hospital mortality was 20%.
Keywords: Clinical Features And Mortality Of Acute Myocardial Infarction In Benghazi, Libya
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