A16381 Cardiovascular Risk Factors in Hypertensive Vs Non-Hypertensive Patients with Acute Myocardial Infarction in India

Abstract

Objectives: Previous studies have shown that hypertension is a risk factor of mortality and morbid events following acute myocardial infarction. In addition, patients with hypertension may have other risk factors for acute myocardial infarction such as diabetes mellitus, tobacco use, physical inactivity. This study aimed to explore the distribution of cardiovascular (CV) risk factors among patients of acute myocardial infarction with and without hypertension. Methods: Participants were acute myocardial infarction patients (n = 3522) admitted to 22 tertiary care hospitals with hypertension (n = 1014) and without hypertension (n = 2508), aged 18–80 years, recruited for the Yoga-CaRe, a multicenter randomized controlled trial. Data on socio-demographics, clinical and behavioral characteristics of those with and without hypertension were compared and analyzed using multivariable logistic regression model. Results: The prevalence of hypertension among male and female AMI patients were 25.9% and 47.0% respectively. The mean age (years) for hypertensive patients was 57.1 ± 9.7 and for non-hypertensive patients was 51.8 ± 11.0. Patients with hypertension had higher odds of having diabetes, overweight, central obesity and being physically inactive (Table 1). No differences were found in ever tobacco use between hypertensive and non-hypertensive groups. Conclusion: Hypertensive acute myocardial infarction patients had higher odds of behavioral and physiological cardiovascular risk factors. Cardiac rehabilitation may be tailored to address these differentials.