Assessment of Demographics, Management and Outcomes of Acute Coronary Syndrome in Rural Population of India

Introduction: Acute coronary syndrome (ACS) comprise the majority of hospital admissions and encompass a high risk of inhospital mortality. This study aimed to understand and assess the characteristics of hospitalized ACS patients, trends in theirmanagement 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 patientssuspected of ACS having age ≥ 18 years were admitted. During hospitalization, a case report form was filled out for patients withdiagnosis 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 of112 consecutive patients admitted in cardiac ICU were enrolled. Out of them 72 (64.28%) were males and 40 (35.72%) werefemales. Mean age of study cohort was 55.98±10.68 years. Most commonly associated conventional risk factors wereHypertension 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 1/3rdpatients showed TIMI grade 3.Conclusion: The present study showed higher ACS prevalence among patients who were in sixth toseventh decade of life, most commonly males, and associated with conventional risk factors, hypertension and diabetes.

Keywords

Acute Coronary Syndrome, Demographic, Outcome, Rural, TIMI grade

Citation

Jawahirani Anil R., Lohakare Akash, Manakshe Gajendra, Sane Deepak, Khadse Satish, Patil Ashwini. Assessment of Demographics, Management and Outcomes of Acute Coronary Syndrome in Rural Population of India. International Journal of Medical and Health Sciences . 2019 Jul; 8(3): 48-52

URI

https://imsear.searo.who.int/handle/123456789/203102

Collections

International Journal of Medical and Health Sciences

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