Incidence of first acute myocardial infarction in the Bangkok Adventist Hospital (1958-1985).

This present report represents an effort to find the trends in the incidence of first AMI in patients admitted to Bangkok Adventist Hospital. During a 28-year period (1958-1985), we noted a six-fold increase in the prevalence of the disease, more remarkably in males. Ethnically, there is difference in the onset of the occurrence and rate of incidence among Thai, Chinese and Indian patients. The higher incidence of AMI was found in Indians more than the Thai and Chinese. They also had earlier occurrence. The proved risk factors (hypertension, diabetes, cigarette smoking, and hypercholesterolemia) in AMI are also shown to be prominent in this investigation. The rate of hypertension and diabetes is slightly higher than that previously reported.