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. |