Muhammad Zafar Majeed Babar, Mirza Ahmad Raza Baig, Hammad Azam, Sheikh Muhammad Azam.
Risk Factors Of Heart Failure After Myocardial In Farction.
J Postgrad Med Inst Jan ;31(1):29-32.

Objective: To find out risk factors of heart failure after ST Elevation Myocardial Infarction (STEMI) and to see the most commonly involved vessels in myocardial infarction responsible for heart failure. Methodology: This cross-sectional study was conducted from June 2013 to November 2013. 225 patients of heart failure (HF) following STEMI who came in the emergency department of the hospital were included. The selected patients were followed till the angiography reporting. Statistical analysis was done in SPSS version 16. Results: Mean age of patients was 51.42 ±11.78 years. 49.0% patients were hypertensive, 37.3% patients were diabetic, 44.0% were smokers and 18.2% had positive family history. In this study, anterior wall MI was predominant and found in 30.7% patients. 46.7% patients had triple vessel disease (TVD). There was 33.7% involvement of Left main stem (LMS). Conclusion: Hypertension and smoking are most common risk factors of heart failure. The patients who present with heart failure are most who have involvement of triple vessel coronary artery disease. Left main stem (LMS) is most commonly involved vessel in these patients.

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