Clinical profile of young Indian women presenting with acute coronary syndrome
Introduction: Coronary artery disease is an important public health issue in India. Over the last few decades, several studies have led to an understanding of the disease with respect to Indian population. However, lacunae still exist in several aspects of this burning health issue. There is a lack...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Journal of Clinical and Preventive Cardiology |
| Subjects: | |
| Online Access: | http://www.jcpconline.org/article.asp?issn=2250-3528;year=2018;volume=7;issue=3;spage=106;epage=110;aulast=Nagamalesh |
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| author | U M Nagamalesh T Abhinay K C Karthik Naidu N Ambujam Anupama V Hegde V S Prakash |
| author_facet | U M Nagamalesh T Abhinay K C Karthik Naidu N Ambujam Anupama V Hegde V S Prakash |
| author_sort | U M Nagamalesh |
| collection | DOAJ |
| description | Introduction: Coronary artery disease is an important public health issue in India. Over the last few decades, several studies have led to an understanding of the disease with respect to Indian population. However, lacunae still exist in several aspects of this burning health issue. There is a lack of data on acute coronary syndrome (ACS) in the young Indian population. Our study targeted an important subgroup of Indian population which is the young Indian women. In this study, we present a brief overview of the clinical and laboratory characteristics of young Indian women who presented in our Institute with ACS. Methods: A total of 63 female patients aged ≤45 years with a diagnosis of ACS after satisfying inclusion-exclusion criteria were chosen for the study. Baseline demographics, laboratory investigations, electrocardiogram, echocardiographic assessment, and coronary angiogram with subsequent treatment approach and outcomes were recorded. Results: Dyslipidemia was the most common prevalent risk factors among the study patients, while diabetes and hypertension were other common risk factors noted. Among 63 patients admitted with ACS, 77% (n = 21) received primary percutaneous coronary intervention (PCI) and 11.1% (n = 7) received thrombolytic therapy. The average duration of hospital stay was 4 ± 1 day. Conclusion: It was observed that dyslipidemia was major risk factor for ACS among young Indian woman included in our study. Other risk factors included diabetes mellitus and hypertension. Chest pain (95.2%) was the most common complaint. In 76% cases, the coronary angiogram revealed single vessel disease with left anterior descending coronary artery being the culprit vessel in 69.8% cases. Majority of the participants had preserved left ventricular function at the time of discharge. Nearly 85% of our patients received PCI as the revascularization strategy of choice. |
| first_indexed | 2024-12-19T21:59:04Z |
| format | Article |
| id | doaj.art-be46d42aca244786b8bc1bd7815d88d8 |
| institution | Directory Open Access Journal |
| issn | 2250-3528 |
| language | English |
| last_indexed | 2024-12-19T21:59:04Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Clinical and Preventive Cardiology |
| spelling | doaj.art-be46d42aca244786b8bc1bd7815d88d82022-12-21T20:04:12ZengWolters Kluwer Medknow PublicationsJournal of Clinical and Preventive Cardiology2250-35282018-01-017310611010.4103/JCPC.JCPC_48_17Clinical profile of young Indian women presenting with acute coronary syndromeU M NagamaleshT AbhinayK C Karthik NaiduN AmbujamAnupama V HegdeV S PrakashIntroduction: Coronary artery disease is an important public health issue in India. Over the last few decades, several studies have led to an understanding of the disease with respect to Indian population. However, lacunae still exist in several aspects of this burning health issue. There is a lack of data on acute coronary syndrome (ACS) in the young Indian population. Our study targeted an important subgroup of Indian population which is the young Indian women. In this study, we present a brief overview of the clinical and laboratory characteristics of young Indian women who presented in our Institute with ACS. Methods: A total of 63 female patients aged ≤45 years with a diagnosis of ACS after satisfying inclusion-exclusion criteria were chosen for the study. Baseline demographics, laboratory investigations, electrocardiogram, echocardiographic assessment, and coronary angiogram with subsequent treatment approach and outcomes were recorded. Results: Dyslipidemia was the most common prevalent risk factors among the study patients, while diabetes and hypertension were other common risk factors noted. Among 63 patients admitted with ACS, 77% (n = 21) received primary percutaneous coronary intervention (PCI) and 11.1% (n = 7) received thrombolytic therapy. The average duration of hospital stay was 4 ± 1 day. Conclusion: It was observed that dyslipidemia was major risk factor for ACS among young Indian woman included in our study. Other risk factors included diabetes mellitus and hypertension. Chest pain (95.2%) was the most common complaint. In 76% cases, the coronary angiogram revealed single vessel disease with left anterior descending coronary artery being the culprit vessel in 69.8% cases. Majority of the participants had preserved left ventricular function at the time of discharge. Nearly 85% of our patients received PCI as the revascularization strategy of choice.http://www.jcpconline.org/article.asp?issn=2250-3528;year=2018;volume=7;issue=3;spage=106;epage=110;aulast=NagamaleshAcute coronary syndromeacute coronary syndrome in young womenmyocardial infarctionpercutaneous coronary intervention |
| spellingShingle | U M Nagamalesh T Abhinay K C Karthik Naidu N Ambujam Anupama V Hegde V S Prakash Clinical profile of young Indian women presenting with acute coronary syndrome Journal of Clinical and Preventive Cardiology Acute coronary syndrome acute coronary syndrome in young women myocardial infarction percutaneous coronary intervention |
| title | Clinical profile of young Indian women presenting with acute coronary syndrome |
| title_full | Clinical profile of young Indian women presenting with acute coronary syndrome |
| title_fullStr | Clinical profile of young Indian women presenting with acute coronary syndrome |
| title_full_unstemmed | Clinical profile of young Indian women presenting with acute coronary syndrome |
| title_short | Clinical profile of young Indian women presenting with acute coronary syndrome |
| title_sort | clinical profile of young indian women presenting with acute coronary syndrome |
| topic | Acute coronary syndrome acute coronary syndrome in young women myocardial infarction percutaneous coronary intervention |
| url | http://www.jcpconline.org/article.asp?issn=2250-3528;year=2018;volume=7;issue=3;spage=106;epage=110;aulast=Nagamalesh |
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