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ORIGINAL ARTICLE
Year : 2014  |  Volume : 11  |  Issue : 1  |  Page : 27-32

The clinical spectrum of acute coronary syndromes: A study from tertiary care centre of Kumaun region of Uttarakhand


1 Department of Medicine, Government Medical College, Haldwani, Uttarakhand, India
2 Department of Cardiology Unit, Government Medical College, Haldwani, Uttarakhand, India

Correspondence Address:
Yatendra Singh
Department of Medicine, Government Medical College, Room No. 32, SR Hostel, Haldwani, Uttarakhand
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-7969.130076

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Background: The clinical profile and the mortality rate among patients with acute coronary syndromes (ACS) is not well-studied in Kumaun region of Uttarakhand. Objective: The aim of the present study is to determine the clinical characteristics, mortality rate and possible risk factors for high mortality among patients with ACS in Kumaun region of Uttarakhand. Methods: Retrospective analytic study conducted at Dr. Susheela Tiwari hospital associated with Government Medical College, Haldwani. All the cases admitted to the coronary care unit of Dr. Susheela Tiwari hospital, between May 2012 and April 2013 were included. Cases were grouped into ST-segment elevation myocardial infarction (STEMI) and non-STEMI/unstable angina (NSTEMI/UA) for the purpose of analysis. Chi-square test and unpaired t-test. Results: Mean age of presentation was 55.86 ± 13.4 years. Mortality rate was higher among patients with inferior wall infarctions when compared with anterior wall infarctions (12.94% vs. 7.14%; P < 0.05). ACS cases with co-existent cardiovascular risk factors such as diabetes mellitus (DM), dyslipidemia, obesity and previous coronary artery disease (CAD) reveal statistically significant higher risk for death when compared to those without these risk factors. Mortality rate was higher among patients with inferior wall infarctions when compared to anterior wall infarctions (12.94% vs. 7.14%; P < 0.05). Conclusions: Mortality rates among patients was 10.95%. ACS Subjects with DM, dyslipidemia, obesity, previous CAD history and elderly individuals had greater mortality rates and are high risk groups. Among the patients with NSTEMI/UA females had higher mortality rate. Hence, these findings can be taken into account during management of ACS patients.


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