Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Mar 6;24(1):728.
doi: 10.1186/s12889-024-18140-6.

A cross-sectional study determining prevalence and factors associated with ST-segment elevation myocardial infarction and non-ST segment elevation myocardial infarction in Iran: results from fasa registry on acute myocardial infarction (FaRMI)

Mehdi Sharafi  1   2 , Azizallah Dehghan  2 , Ali Mouseli  3 , Hossein Fatemian  4 , Leila Jamali  5 , Sima Afrashteh  6 , Mahsa Rostami Chijan  7 , Zahra Mastaneh  8 , Abdoljabbar Zakeri  1   9 , Abdulhakim Alkamel  2
Affiliations

A cross-sectional study determining prevalence and factors associated with ST-segment elevation myocardial infarction and non-ST segment elevation myocardial infarction in Iran: results from fasa registry on acute myocardial infarction (FaRMI)

Mehdi Sharafi et al. BMC Public Health. .

Abstract

Background: Acute myocardial infarction is still a leading cause of death worldwide, accounting for roughly three million deaths yearly. This study aimed to investigate the prevalence and factors associated with ST-Segment Elevation Myocardial Infarction and Non-ST Segment Elevation Myocardial Infarction in Iran.

Methods: This cross-sectional study was conducted using the databases of the Fasa Registry on Acute Myocardial Infarction (FaRMI) and the Fasa Adult Cohort Study (FACS). chi-squared and one-way ANOVA tests were utilized to calculate the unadjusted associations between the study variables. A multivariate multinomial logistic regression model was also employed to determine the adjusted association of each independent variable with the risk of ST-elevation myocardial infarction (STEMI).

Results: The prevalence of STEMI and non-STEMI was 31.60% and 11.80%, respectively. Multinomial logistic regression showed that older age, anemia, high WBC, and high creatinine levels were associated with higher odds of STEMI and non-STEMI compared to healthy individuals. In addition, based on the analysis being a woman(OR = 0.63,95%CI:0.51-0.78), anemia(OR = 0.67,95%CI:0.54-0.63)and hypertension (OR = 0.80,95%CI:0.65-0.97)decreased the likelihood of STEMI occurrence compared to non-STEMI, while high WBC(OR = 1.19,95%CI:1.15-1.23)increased the odds.

Conclusion: In this study, significant predictors of MI risk included age, gender, anemia, lipid profile, inflammation, and renal function. Subsequent investigations ought to prioritize the comprehensive understanding of the underlying mechanisms that drive these connections and assess the effectiveness of specific interventions aimed at diminishing the occurrence of MI and improving patient outcomes.

Keywords: Myocardial infarction; Non-ST segment; Prevalence; ST-segment.

PubMed Disclaimer

Conflict of interest statement

The authors declare no competing interests.

Similar articles

See all similar articles

References

    1. Mechanic OJ, Gavin M, Grossman SA. Acute myocardial infarction. 2017.
    1. Jayaraj JC, Davatyan K, Subramanian S, Priya J. Epidemiology of myocardial infarction. Myocard Infarct. 2019;10.
    1. Basit H, Malik A, Huecker MR. Non-ST segment elevation myocardial infarction. StatPearls [Internet]: StatPearls Publishing; 2023. - PubMed
    1. Park H-W, Yoon C-H, Kang S-H, Choi D-J, Kim H-S, Cho MC, et al. Early-and late-term clinical outcome and their predictors in patients with ST-segment elevation myocardial infarction and non-ST-segment elevation myocardial infarction. Int J Cardiol. 2013;169(4):254–61. doi: 10.1016/j.ijcard.2013.08.132. - DOI - PubMed
    1. Antman EM, Anbe DT, Armstrong PW, Bates ER, Green LA, Hand M, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to revise the 1999 guidelines for the management of patients with Acute myocardial infarction) J Am Coll Cardiol. 2004;44(3):E1–E211. doi: 10.1016/j.jacc.2004.07.014. - DOI - PubMed

Publication types