Assessment of anemia in cases of acute myocardial infarction in a tertiary care hospital in central India

Aditya Thakur; Kunal Peepre; Budhram Pendro; Jagmohan Singh Dhakar; Tej Pratap Singh; Aryasree Lalu

doi:10.18203/2394-6040.ijcmph20241495

Authors

Aditya Thakur Department of Community Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh, India
Kunal Peepre Department of Community Medicine, GMC, Shahdol, Madhya Pradesh, India
Budhram Pendro Madhya Pradesh Council of Science and Technology, Bhopal, Madhya Pradesh, India
Jagmohan Singh Dhakar Department of Community Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh, India
Tej Pratap Singh Department of Community Medicine, SSMCH, Jabalpur, Madhya Pradesh, India
Aryasree Lalu Department of Community Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20241495

Keywords:

MI, Anemia, Haemoglobin, Risk factors, Screening

Abstract

Background: Anemia is a known risk factor for ischemic heart disease and heart failure. It is also associated with increased mortality in acute myocardial infarction (AMI) patients. The study aimed to determine the anemia status of AMI patients and educate them on anemia and its impact on health.

Methods: This was cross-sectional study conducted among 100 AMI patients admitted to ICCU of Hamidia hospital, Bhopal over 2 months. Haemoglobin levels were recorded and patients classified as non-anemic, mildly, moderately or severely anemic based on WHO criteria. Patients' sociodemographic profile and risk factors also collected.

Results: Of the 100 patients (mean age 55.6 years), 76% were males. 88% patients had anemia-74% mild, 13% moderate and 1% severe. The 30-45 years age group reported the highest frequency of mild anemia cases (20 out of 31). Absence of anemia was highest among the younger <30 years group (9 out of 31). Anemia was higher in females, Patient with vegetarian diet had comparatively more anemia than the patient consuming mixed diet.

Conclusions: A high prevalence of anemia was found among AMI patients. Counselling can help improve health by increasing awareness of anemia management. Screening AMI patients for anemia and therapeutic interventions were recommended.

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References

Mendis S, Thygesen K, Kuulasmaa K, Giampaoli S, Mahonen M, Blackett KN, et al. World Health Organization definition of myocardial infarction: 2008-09 revision. Int J Epidemiol. 2011;40(1):139-46.

Salari N, Morddarvanjoghi F, Abdolmaleki A, Rasoulpoor S, Khaleghi AA, Hezarkhani LA, et al. The global prevalence of myocardial infarction: a systematic review and meta-analysis. BMC Cardiovasc Disord. 2023;23(1):1-12.

Anaemia. Available at: https://www.who.int/news-room/fact-sheets/detail/ANAEMIA. Accessed on 09 January, 2024.

Levy JH, Ka L, Hare GMT, David Mazer C. Anemia: Perioperative Risk and Treatment Opportunity. Anesthesiology. 2021;135(3):520-30.

Kalra SK, Bright T, Khambaty M, Manjarrez E. Post-operative Anemia After Major Surgery: a Brief Review. Current Emergency and Hospital Medicine Reports 2021;9(3):89-95.

Shu DH, Ransom TPP, O’Connell CM, Cox JL, Kaiser SM, Gee SA, et al. Anemia is an independent risk for mortality after acute myocardial infarction in patients with and without diabetes. Cardiovasc Diabetol. 2006;5(1):1-9.

Wang X, Qiu M, Qi J, Li J, Wang H, Li Y, et al. Impact of anemia on long-term ischemic events and bleeding events in patients undergoing percutaneous coronary intervention: a systematic review and meta-analysis. J Thor Dis. 2015;7(11):2041-52.

Desai A, Oh D, Rao EM, Sahoo S, Mahajan UV, Labak CM, et al. Impact of anemia on acute ischemic stroke outcomes: A systematic review of the literature. PLoS One. 2023;18(1):e0280025.

Colombo MG, Kirchberger I, Amann U, Heier M, Thilo C, Kuch B, et al. Association between admission anemia and long-term mortality in patients with acute myocardial infarction: Results from the MONICA/KORA myocardial infarction registry. BMC Cardiovasc Disord. 2018;18(1):1-9.

Shechter A, Shiyovich A, Skalsky K, Gilutz H, Plakht Y. Interaction between anemia and renal dysfunction in relation to long-term survival following acute myocardial infarction. Clinical Research in Cardiol. 2024;1-15.

Scott J, Bidulka P, Taylor DM, Udayaraj U, Caskey FJ, Birnie K, et al. Management and outcomes of myocardial infarction in people with impaired kidney function in England. BMC Nephrol. 2023;24(1):1-11.

Singh A, Ram Id S, Singh Id S, Tripathi P. Prevalence and determinants of anaemia among men in rural India: Evidence from a nationally representative survey. PLOS Global Public Health. 2022;2(12):e0001159.

Salisbury AC, Alexander KP, Reid KJ, Masoudi FA, Rathore SS, Wang TY, et al. Original Articles Incidence, Correlates, and Outcomes of Acute, Hospital-Acquired Anemia in Patients with Acute Myocardial Infarction. Circ Cardiovasc Qual Outcomes. 2010;3(4):337-46.

Farhan S, Baber U, Mehran R. Anemia and Acute Coronary Syndrome: Time for Intervention Studies. J Am Heart Assoc. 2016;5:4908.

Mamas MA, Kwok CS, Kontopantelis E, Fryer AA, Buchan I, Bachmann MO, et al. Relationship Between Anemia and Mortality Outcomes in a National Acute Coronary Syndrome Cohort: Insights from the UK Myocardial Ischemia National Audit Project Registry. J Am Heart Assoc. 2016;5(11):1.

Colombo MG, Kirchberger I, Amann U, Heier M, Thilo C, Kuch B, et al. Association between admission anemia and long-term mortality in patients with acute myocardial infarction: Results from the MONICA/KORA myocardial infarction registry. BMC Cardiovasc Disord. 2018;18(1):1-9.

Gaskell H, Derry S, Andrew Moore R, McQuay HJ. Prevalence of anaemia in older persons: Systematic review. BMC Geriatr. 2008;8(1):1-8.

Alvarez-Uria G, Naik PK, Midde M, Yalla PS, Pakam R. Prevalence and severity of anaemia stratified by age and gender in rural India. Anemia. 2014;2014.

Camaschella C. Iron deficiency. Blood. 2019;133(1):30-9.