Original scientific paper

https://doi.org/10.15836/ccar2020.9

Incidence of Unrecognized Myocardial Infraction in Patients with Schizophrenia

Muhamed Zuko orcid.org/0000-0002-7373-3761 ; Public Institution Psychiatric Hospital of Canton Sarajevo, Sarajevo, Bosnia and Herzegovina; Faculty of Pharmacy and Health, Travnik, Bosnia and Herzegovina
Alina Fazlić orcid.org/0000-0001-7588-2958 ; Faculty of Pharmacy and Health, Travnik, Bosnia and Herzegovina; Public Institution of Hospital Travnik, Travnik, Bosnia and Herzegovina
Elma Sokić Begović orcid.org/0000-0003-4548-9500 ; Federal Ministry of Health, Sarajevo, Bosnia and Herzegovina
Enida Halvadžić ; Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina
Sanela Halilović Šuškić orcid.org/0000-0003-4689-0566 ; Public Institution of Hospital Travnik, Travnik, Bosnia and Herzegovina

Abstract

Introduction: About 0.5% of the population have schizophrenia and are thus at increased
risk of death. The consequences of disordered physiological processes in the body lead to a reduction
in life span of up to twenty years. Poor eating habits and lifestyles lead to more frequent occurrence of
metabolic syndrome, and antipsychotics are one of the main causes of diabetes and hyperlipidemia.
Psychiatric patients are often exposed to discrimination, resulting in poorer social acceptance and
poorer health care. These people often have low or no income and are unemployed and socially excluded.
The aim of our study was to determine the incidence of unrecognized myocardial infarction in
patients with schizophrenia and whether the patients have been treated with appropriate medication
such as acetylsalicylic acid, beta-blockers, ace inhibitors, statins, etc. Patients and Methods: The study
included patients diagnosed with schizophrenia hospitalized at the Psychiatric Hospital of Canton
Sarajevo. A total of 605 patients were treated. Results: Scarring was indicated on electrocardiogram examination
in 11.85% patients, 56.25% of whom were men and 43.75% women. The youngest patient with
ECG-indicated scarring was a man aged 37, while the oldest was also a man aged 67. The average life
expectancy of patients with scarring indicated on the electrocardiogram was 53 years. Conclusion: In
order to prevent cardiac incidents, it is necessary to raise awareness in patients with schizophrenia regarding
to lifestyle and dietary habits and to perform regular health examinations in this population.

Keywords

unrecognized myocardial infarction; schizophrenia; metabolic syndrome.

Hrčak ID:

232210

URI

https://hrcak.srce.hr/232210

Publication date:

15.1.2020.

Article data in other languages: croatian

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