Clinical Characteristics, Risk Factors and Treatment Methods of The Patıents With Acute Coronary Syndrome

Abstract

INTRODUCTION: it was aimed to determine the clinical features, coronary artery disease (CAD) risk factors and treatment modalities of acute coronary syndrome (ACS) cases who were admitted to our hospital and to develop strategies for prevention of CAD and to make better ACS treatment strategies for our region and hospital. METHODS: Clinical and laboratory features of 364 patients who were admitted to coronary care unit of Yüzüncü Yıl University Cardiology Department between 01.10.2011-01.06.2012 were investigated. Patients were classified as STEMI (ST elevation myocardial infarction), NSTEMI (non ST elevation myocardial infarction) or USAP (unstable angina pectoris). RESULTS: The female / male ratio of the cases was approximately 1/3, the mean age was 59 +- 11 years (61 +- 12 for women, 58 +- 11 years for men), the most frequent risk factors for all patients and men were hypertension (HT) and smoking, the most common risk for women were HT and diabetes mellitus (DM); 48.3% of the patients were in USAP, 14.3% in NSTEMI and 37.4% in STEMI. STEMI was more frequent in men and NSTEMI was less common in both genders than in literature. DISCUSSION AND CONCLUSION: In contrast to non-preventable risk factors such as gender, age, and family history, it is thought that the incidence of CAD and related ACS may be reduced with the control of preventable risk factors such as HT, DM, smoking and hyperlipidemia. It is thought that the traditional risk factors of CAD may be better controlled by making public health practices and preventive medicine studies more effective.

Keywords

• acute coronary syndrom
• coronary arter disease
• risk factors