急性心肌梗死住院的季节变化研究

Md Sajjadur Rahman, A. Chowdhury, Khandker Md Nurus Sabah, Md Gaffar Amin, Sudhakar Sarker, Md Shuaib Ahmed, Mohammad Harun Ur Rashid Khan, Md Anisul Goni Khan
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摘要

背景:冠状动脉疾病是一个重要的医疗和公共卫生问题,因为它是孟加拉国和世界各地死亡和发病的常见和主要原因。本研究旨在确定达卡医学院医院急性心肌梗死(AMI)住院患者是否存在季节性节律。方法:对2015年4月至2016年3月在大连医科大学附属医院心内科住院的AMI患者进行横断面观察研究。882名患者入组。结果:冬季住院患者最多(285例,占32.3%),其次为季风后(213例,占24.1%)和季风后(194例,占22.0%)。夏季入院患者最少(190例,21.5%)。冬季住院率显著高于其他季节(p值分别为0.008、0.011和0.042)。结论:本研究明确了AMI住院人数的季节性变化,冬季为高峰。AMI住院患者多为各年龄组,男女均有较大的季节差异,冬季为住院高峰。(Cardiovasc。j。2020;12 (2): 126 - 134)
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Study on Seasonal Variation of Acute Myocardial Infarction Hospitalization
Background: Coronary artery disease is an important medical and public health issue as it is common and leading cause of mortality and morbidity in Bangladesh as it is throughout the world. This study was carried out to determine the existence of seasonal rhythms in hospital admissions due to acute myocardial infarction (AMI) in Dhaka Medical College Hospital. Methods: This cross-sectional observational study was conducted during the period of April 2015 to March 2016 among the patients with AMI admitted at the Cardiology Department of DMCH. 882 patients were enrolled. Results: The highest number of patients were admitted during winter (n=285, 32.3%) followed by post monsoon (n=213, 24.1%) and monsoon (n=194, 22.0%). The lowest number of patients were admitted during summer (n=190, 21.5%). The hospital admission was significantly higher in winter compared to other seasons (p-value versus summer, monsoon and post monsoon was 0.008, 0.011 and 0.042 respectively). Conclusion: A seasonal variation in the hospital admission due to AMI with a peak in winter was clearly demonstrated in the study. Persons admitted to hospital with AMI tend to be all age groups and both sexes present a stronger seasonal variation peak admission in winter. (Cardiovasc. j. 2020; 12(2): 126-134)
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