Assessment of Demographics, Management and Outcomes of Acute Coronary Syndrome in Rural Population of India
Authors: Anil R. Jawahirani, Akash Lohakare, Gajendra Manakshe, Deepak Sane, Satish Khadse, Ashwini Patil
Abstract:Introduction: Acute coronary syndrome (ACS) comprise the majority of hospital admissions and encompass a high risk of in-hospital mortality. This study aimed to understand and assess the characteristics of hospitalized ACS patients, trends in their management as per evidence based medicine, and its impact on outcome.Materials & Methods: This was a prospective, observational study conducted at a tertiary care hospital in India during January 2018 to December 2018. All consecutive patients suspected of ACS having age ≥ 18 years were admitted. During hospitalization, a case report form was filled out for patients with diagnosis of ACS. It included data on demographic, clinical and electrocardiographic characteristics of the patients, diagnosis & treatment modalities. Treatment outcome was mentioned in terms of TIMI grading & in hospital complications.Results: A total of 112 consecutive patients admitted in cardiac ICU were enrolled. Out of them 72 (64.28%) were males and 40 (35.72%) were females. Mean age of study cohort was 55.98±10.68 years. Most commonly associated conventional risk factors were Hypertension and diabetes [65 (58.04%) hypertensives and 33 (29.46%) diabetics]. Medical management was offered to 78 (69.64%) whereas, 34 (30.36%) underwent PTCA or CABG. TIMI flow grading assessment done in 62 patients of which 1/3rd patients showed TIMI grade 3.Conclusion: The present study showed higher ACS prevalence among patients who were in sixth to seventh decade of life, most commonly males, and associated with conventional risk factors, hypertension and diabetes.
Published on: 02-08-2019