A Descriptive Study on Characteristics of Patients with Myocardial Infarction and Their Outcomes: A Rural Primary Healthcare Setting in Lubok Antu District, Sarawak

Authors

  • Yik Hon Ho Batang Ai Health Clinic, Lubok Antu, Sarawak, Malaysia
  • Caryn Tsujean Lim Lubok Antu Health Clinic, Lubok Antu, Sarawak, Malaysia
  • Stephenie Ann Albart Clinical Research Centre, Seberang Jaya Hospital, Penang, Malaysia
  • Jie Ping Schee Department of Medicine, Faculty of Medicine, University of Malaya, Selangor, Malaysia
  • Irene Looi Clinical Research Centre, Seberang Jaya Hospital, Penang, Malaysia
  • Alan Yean Yip Fong Clinical Research Centre, Sarawak General Hospital, Kuching, Sarawak, Malaysia

DOI:

https://doi.org/10.32896/cvns.v4n1.42-48

Abstract

INTRODUCTION: Myocardial infarction (MI) is the leading cause of death worldwide. More studies are needed to provide insight of MI care in rural settings in Malaysia.
OBJECTIVE: This study aims to define characteristics of patients who experienced MI in rural setting and their outcomes.
METHODS: We conducted an observational study involving secondary data collection through review of medical records of patients who presented to rural primary healthcare facilities before being referred to regional secondary and/or tertiary centres. We explored their outcomes including inpatient and 30-day cardiac-related mortality.
RESULTS: Nine patients were included. Eight (88.9%) experienced STEMI. Eight (88.9%) were male. Median age was 53 (Q1:40.5–Q3:64.5) years. Median duration from symptoms onset to presentation was 2 (1.125 – 35.250) hours. Median time from presentation to aspirin delivery was 45 (12.5 – 86.0) minutes. The median door-to-needle time was 190 (163.0 – 212.5) minutes. Five (55.6%) received medical thrombolysis in secondary hospital prior to elective percutaneous coronary intervention (PCI).  Inpatient mortality was 11.1% corresponding to 30-day mortality.
CONCLUSIONS: MI is potentially under-diagnosed and under-treated in resource-limited rural settings where community awareness is low complicated by logistic challenges. Better resources with better equipped healthcare facilities are essential for prompt diagnosis and interventions for MI patients.

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Published

2022-03-30

How to Cite

Ho, Y. H., Lim, C. T., Albart, S. A., Schee , J. P. ., Looi, I., & Fong, A. Y. Y. (2022). A Descriptive Study on Characteristics of Patients with Myocardial Infarction and Their Outcomes: A Rural Primary Healthcare Setting in Lubok Antu District, Sarawak. Journal Of Cardiovascular, Neurovascular &Amp; Stroke, 4(1), 42–48. https://doi.org/10.32896/cvns.v4n1.42-48