Assessment of Prognosis in Myocardial Infarction: Norris Coronary Prognostié Index Versus QRS Scoring System

Abstract

MATERIALS AND METHODS:

All patients of acute transmural myocardial infarction, irrespective of age and sex, admitted in coronary care unit of Rawalpindi General Hospital, Rawalpindi, during the period of 1^st January to 30^th April, 1982, who fulfilled the criteria for selection, as discussed in our previous study (4) were included.

RESULTS:

40 Patients fulfilled the criteria for selection and were included in study. The age range in 35 male patients (87.5%) was from 28-71 years and in 5 females (12.5%) it was 48-70 years. The mean age in total, male and female patients 52.89 ± 10.89 years, 52 ± 10.80 years and 62.6 ± 9.15 years, respectively. 7 patients (17.5%) belonged to rural area and 33 patients (82.5%) were residents of urban area. According to occupation 17 (42.5%) were Government servants, 13 (32.5%) were businessmen or shopkeepers, 5 12.5%) were housewives, 3 .7.5%) were farmers and 2 (5%) were taxi drivers. While there was no statistically significant difference for prediction of prognosis in various groups of C.P.I. or individual factors.

DISCUSSION:

The mean, age, sex and smoking habits of the patients in this study are in accordance to the literature (8, 8, 10, 11). Only 7 patients (17.5%) belong to the rural area, as was observed also in another study (9) while only 3 patients (7.5%) was farmer, indicating the disease association with civilization and sedentary life style, or the representation from the rural population is under estimated due to obvious socio-economic factors hindering villagers to get medical advice.