Hospital Outcomes in Patients with Acute Myocardial Infarction Complicated by Congestive Heart Failure

Jitender Kumar; Anil Kumar Kem

doi:10.55489/njmr.150120251027

Authors

Jitender Kumar Department of General Medicine, Saraswathi Institute of Medical Sciences, Uttar Pradesh, India
Anil Kumar Kem Department of General Medicine, Saraswathi Institute of Medical Sciences, Uttar Pradesh, India

DOI:

https://doi.org/10.55489/njmr.150120251027

Keywords:

Acute myocardial infarction, Congestive heart failure, Hospital outcomes, Mortality, Comorbidities

Abstract

Background: Acute myocardial infarction (AMI) is a leading cause of morbidity and mortality worldwide, often complicated by congestive heart failure (CHF). This study aims to explore the hospital outcomes of patients with AMI complicated by CHF, focusing on demographic factors, comorbidities, and treatment strategies.

Method: Conducted over one year at the Saraswathi Institute of Medical Sciences, this study enrolled 157 patients diagnosed with AMI and CHF. Data collection included clinical assessments and laboratory investigations, with primary outcomes measuring hospital length of stay, in-hospital mortality, and readmission rates. Statistical analyses were performed to identify significant associations.

Result: The average length of hospital stay was 10.5 ± 3.2 days, with an in-hospital mortality rate of 12.1%. Hypertension was significantly associated with mortality (p = 0.020), while the odds ratios indicated that patients with diabetes and chronic kidney disease had increased mortality risks. Notably, longer hospital stays correlated with in-hospital mortality and readmissions (p < 0.001).

Conclusion: CHF significantly impacts hospital outcomes in AMI patients, with hypertension as a key factor for increased mortality. Targeted interventions for at-risk populations may improve patient care and outcomes.

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