Said Zaman, Shah Zeb, Malik Faisal Iftekhar, Muhammad Waqas Khan, Umair Ali, Hikmatullah Jan.
Frequency of hospital acquired anemia (HAA) in acute myocardial infarction.
Pak Heart J Jan ;48(4):200-5.

Objective: To determine the frequency of hospital acquired anemia in patients of acute myocardial infarction. Methodology: This cross sectional observational study was conducted from 6June 2014 to 6 December 2014 at Cardiology Department, Lady Reading Hospital Peshawar. In this study, patients who were admitted with acute myocardial infarction and normal baseline hemoglobin level at the time of admission (according to WHO criteria) were included. Hemoglobin was rechecked on 5 day of admission to see whether patient develops hospital acquired anemia. Results: A total of 246 patients with acute myocardial infarction (AMI) were included in the study. Of these patients 137(55.69%) were males. Mean age was 57.9+-11 years. About 58 (27.57%) were hypertensive while 48(19.5%) were diabetics. Chronic kidney disease was found in 9(3.65%). Mean baseline hemoglobin was 14.3+-1.2 g/dl in males and 13.42+-1.31 g/dl in females while on follow up it was found to be 11.4+-1.72g/dl and 10.3 +-1.67g/dl in males and females respectively. Hospital acquired anemia (HAA) (hemoglobin< 12g/dl in females and <13g/dl in males) on 5 admission day was found in 50(20.32%). Patients found to have HAA, 23 (46%) were females and 27 (54%) were males. Conclusion: HAA is common in AMI patients who are treated medically or with percutaneous coronary intervention.

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