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1- Cardiovascular Research Center, Health Institute, Imam-Ali hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
2- Cardiovascular Research Center, Health Institute, Imam-Ali hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran. , N_salehi45@yahoo.com
Abstract:   (232 Views)
Objectives: Prevalence of cardiovascular risk factors is different in the elderly and middle-aged so, the aim of present study was conducted to compare the prevalence of risk factors affecting myocardial infarction with ST segment elevation, type of treatment and mortality rate in these two groups.
Materials and Methods: This retrospective cohort study included 1,071 elderly and middle-aged ST elevation myocardial infarction patients who had referring to Kermanshah Imam Ali Hospital for 23 months from 2017 to 2019. Demographic information, cardiovascular risk factors, type of treatment and mortality were examined. Data were analyzed with descriptive statistics, independent t-test and Chi-square test in Stata software version 14 with a significance level of 0.05.
Results: In present study, prevalence of risk factors including smoking, high triglyceride, overweight and obesity in the middle-aged group was significantly more than elderly group (P <0.05). The LDL mean (mg / dL) in the middle-aged group was 99.26 ± 71.69 that significantly higher than the elderly group was 96.29 ± 8.5 (P <0.05). Rate of primary angioplasty use was higher in the middle-aged (55.31%) than in the elderly (48.52%). other results indicated that the overall mortality rate in the elderly (15.7%) was higher than the middle-aged (4.4%) (P <0.001). The prevalence of myocardial infarction, stroke, hypertension, hyperlipidemia and GFR< 60 was significantly higher in the elderly group compared to the middle-aged (P <0.05).
Conclusion: Prevalence of low GFR, hyperlipidemia and hypertension, myocardial infarction and stroke is higher in the elderly than in the middle-aged, while the prevalence of important risk factors such as smoking, triglycerides, overweight and obesity in the middle-aged group is significantly higher than the elderly. If these risk factors are planned and controlled in middle age, people will be less at risk for myocardial infarction in elderly age.
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Type of Study: Research | Subject: Geriatric
Received: 2021/12/09 | Accepted: 2022/03/08

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