Abstract
Objective: To determine the frequency of three months mortality among patients with less than 8 years of education after acute myocardial infarction treated with fibrinolysis.
Methodology: This cross sectional study was conducted at Department of Cardiology, Lady Reading Hospital Peshawar from 16th April to 16th Oct 2013. Both male and female patients aged 18 years and above admitted with STEMI fulfilling inclusion criteria, were included in the study. Patients were divided into 2 groups on the basis of education whether less than or more than 8 years. Patients were subjected to detailed history and clinical examination. All patients were observed for mortality rate in 24 hours and in-hospital mortality (after 24 hours of hospital stay). Remaining patients were followed for 3 months mortality.
Results: A total of 482 patients who suffered acute STEMI and were treated with fibrinolysis were studied. The mean age was 60 +/- 13.81 years . Among these males were 298 (61.8%).The frequency of 24 hours, in hospital and 3 months mortality after STEMI treated with fibrinolysis in Group A(< 8 years of education) and Group B(>8 years of education) were 7.5% vs 2.5% , 13.9% vs 4.5% and 16.4 % vs 7.0% respectively. The outcomes were statistically not significant for gender.
Conclusion: Level of education is a predictor of mortality after STEMI treated with fibrinolysis. Mortality after acute myocardial infarction is high in less educated patients.