Clinical profile of patients presenting with acute coronary syndromes at tertiary healthcare hospital in Northern Maharashtra
Background: ST-elevation myocardial infarction (MI) in very young patients has devastating consequences and causes a huge loss to the economy and productivity. However, data regarding demographic, clinical, and angiographic profile of this population are lacking in India as also in the western liter...
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2022-08-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://nepjol.info/index.php/AJMS/article/view/44472 |
| _version_ | 1818014498655567872 |
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| author | Yatin Wagh Smita Wagh Yogesh Gawale Piyush Gawale |
| author_facet | Yatin Wagh Smita Wagh Yogesh Gawale Piyush Gawale |
| author_sort | Yatin Wagh |
| collection | DOAJ |
| description | Background: ST-elevation myocardial infarction (MI) in very young patients has devastating consequences and causes a huge loss to the economy and productivity. However, data regarding demographic, clinical, and angiographic profile of this population are lacking in India as also in the western literature and characteristics of presentation with acute MI (AMI) in very young patients who have been inadequately studied.
Aims and Objectives: The aims of this study were to assess the demographic, clinical, echocardiographic, and angiographic profile and risk factor pattern of patients with acute coronary symptoms at our tertiary healthcare providing hospital in Northern Maharashtra.
Materials and Methods: It was a descriptive comparative study with longitudinal design that was carried out from January 2021 to December 2021 (1 year) in the emergency room and out-patient department of our tertiary healthcare providing hospital in Northern Maharashtra, conducted among 206 consecutive patients aged ≥18 years suspected to have AMI.
Results: Among examinations and diagnostic workup, majority of the study subjects were diagnosed as ST elevation acute coronary syndromes (ACSs) (76.69%), out of which majority had anterior wall myocardial infarction (AWMI) (45.63%), followed by inferior wall MI (26.7%), lateral wall MI (4.37%). About 23.3% study subjects had non-ST elevation types of ACSs.
Conclusions: The conventional risk factors are highly prevalent even among young patients with coronary artery disease. Despite all the recent advances, delayed presentation in ACS is unfortunately widespread. AWMI is more common, most of the patients have a single-vessel disease, and in-hospital mortality is low in this young population. |
| first_indexed | 2024-04-14T06:46:17Z |
| format | Article |
| id | doaj.art-03b7c6beae5342958f942c88d595f67f |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-04-14T06:46:17Z |
| publishDate | 2022-08-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-03b7c6beae5342958f942c88d595f67f2022-12-22T02:07:10ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762022-08-011388792https://doi.org/10.3126/ajms.v13i8.44472Clinical profile of patients presenting with acute coronary syndromes at tertiary healthcare hospital in Northern MaharashtraYatin Wagh 0https://orcid.org/0000-0003-3732-3201Smita Wagh 1https://orcid.org/0000-0003-3576-3449Yogesh Gawale 2https://orcid.org/0000-0002-3832-994XPiyush Gawale 3https://orcid.org/0000-0002-0337-5241Consultant CVT Surgeon, Department of CVTS , Shree Vighnaharta Superspeciality Hospital, Maharashtra, India Assistant Professor, Department of Physiology, Shri Bhausaheb Hire, Government Medical College, Dhule, Maharashtra, India Resident Doctor, Department of CVTS , Shree Vighnaharta Superspeciality Hospital, Maharashtra, India Resident Doctor, Department of CVTS , Shree Vighnaharta Superspeciality Hospital, Maharashtra, India Background: ST-elevation myocardial infarction (MI) in very young patients has devastating consequences and causes a huge loss to the economy and productivity. However, data regarding demographic, clinical, and angiographic profile of this population are lacking in India as also in the western literature and characteristics of presentation with acute MI (AMI) in very young patients who have been inadequately studied. Aims and Objectives: The aims of this study were to assess the demographic, clinical, echocardiographic, and angiographic profile and risk factor pattern of patients with acute coronary symptoms at our tertiary healthcare providing hospital in Northern Maharashtra. Materials and Methods: It was a descriptive comparative study with longitudinal design that was carried out from January 2021 to December 2021 (1 year) in the emergency room and out-patient department of our tertiary healthcare providing hospital in Northern Maharashtra, conducted among 206 consecutive patients aged ≥18 years suspected to have AMI. Results: Among examinations and diagnostic workup, majority of the study subjects were diagnosed as ST elevation acute coronary syndromes (ACSs) (76.69%), out of which majority had anterior wall myocardial infarction (AWMI) (45.63%), followed by inferior wall MI (26.7%), lateral wall MI (4.37%). About 23.3% study subjects had non-ST elevation types of ACSs. Conclusions: The conventional risk factors are highly prevalent even among young patients with coronary artery disease. Despite all the recent advances, delayed presentation in ACS is unfortunately widespread. AWMI is more common, most of the patients have a single-vessel disease, and in-hospital mortality is low in this young population.https://nepjol.info/index.php/AJMS/article/view/44472acute coronary syndrome; acute myocardial infarction; cardiovascular diseases; risk factors |
| spellingShingle | Yatin Wagh Smita Wagh Yogesh Gawale Piyush Gawale Clinical profile of patients presenting with acute coronary syndromes at tertiary healthcare hospital in Northern Maharashtra Asian Journal of Medical Sciences acute coronary syndrome; acute myocardial infarction; cardiovascular diseases; risk factors |
| title | Clinical profile of patients presenting with acute coronary syndromes at tertiary healthcare hospital in Northern Maharashtra |
| title_full | Clinical profile of patients presenting with acute coronary syndromes at tertiary healthcare hospital in Northern Maharashtra |
| title_fullStr | Clinical profile of patients presenting with acute coronary syndromes at tertiary healthcare hospital in Northern Maharashtra |
| title_full_unstemmed | Clinical profile of patients presenting with acute coronary syndromes at tertiary healthcare hospital in Northern Maharashtra |
| title_short | Clinical profile of patients presenting with acute coronary syndromes at tertiary healthcare hospital in Northern Maharashtra |
| title_sort | clinical profile of patients presenting with acute coronary syndromes at tertiary healthcare hospital in northern maharashtra |
| topic | acute coronary syndrome; acute myocardial infarction; cardiovascular diseases; risk factors |
| url | https://nepjol.info/index.php/AJMS/article/view/44472 |
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