Acute Myocardial Infarction among urban and rural population of Bahawalpur, Pakistan

  • Nauman Ali Cardiac Center Bahawalpur, Pakistan.
  • Mahrukh Shakir Cardiology Department CPEIC, Multan, Pakistan.
  • Syed Haseeb Raza Naqvi EP Trainee NICVD Karachi, Pakistan.
  • Azhar Shehzad Ch. Pervez Elahi Institute Of Cardiology, Multan
  • Zeeshan Faisal Department of Cardiology, Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, Pakistan.
Keywords: Acute myocardial infarction, Urban, Rural, Risk factors


Background: Acute myocardial infarction (AMI) is one of the leading causes of death worldwide.

Objective: To determine the frequency of acute myocardial infarction among the urban and rural populations and enlist the risk factor distribution among them.

Methodology: This cross-sectional study was carried out on 350 study subjects, selected by convenient sampling technique, in Cardiac Complex, Emergency Department, Bahawal Victoria Hospital, (BVH) Bahawalpur, from May to July 2019. Study subjects were patients from the urban and rural population of age group from 20 to 80 years, both gender, visiting the cardiac complex emergency department, with acute chest pain and positive ECG findings for AMI. Information was collected through a structured questionnaire. Data were analyzed by using SPSS version 16.

Results: The study showed 260 (74.3%) were males, and 217 (62%) belonged to the rural area. Mean age was 54±3.2 years, and 153 (43.71%) were smokers. Diabetes was noted in 73 (33.6%) vs 47 (35%) rural and urban patients, hypertension in 102 (47%) vs 73 (54.8%) in rural and urban patients. In rural patients, 70 (32%) were from low SES vs 78 (58%) in urban patients.

Conclusion: According to this study most of the patients of Acute MI were old aged, males, smokers and most of the patients of Acute MI were from the rural area.