@article{Ho_Lim_Albart_Schee_Looi_Fong_2022, title={A Descriptive Study on Characteristics of Patients with Myocardial Infarction and Their Outcomes: A Rural Primary Healthcare Setting in Lubok Antu District, Sarawak}, volume={4}, url={https://mycvns.com/index.php/journal/article/view/73}, DOI={10.32896/cvns.v4n1.42-48}, abstractNote={<p><strong>INTRODUCTION</strong>: 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.<br /><strong>OBJECTIVE:</strong> This study aims to define characteristics of patients who experienced MI in rural setting and their outcomes. <br /><strong>METHODS</strong>: 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.<br /><strong>RESULTS</strong>: 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.<br /><strong>CONCLUSIONS:</strong> 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.</p>}, number={1}, journal={Journal Of Cardiovascular, Neurovascular & Stroke}, author={Ho, Yik Hon and Lim, Caryn Tsujean and Albart, Stephenie Ann and Schee , Jie Ping and Looi, Irene and Fong, Alan Yean Yip}, year={2022}, month={Mar.}, pages={42–48} }