Original Research Article
Year: 2019 | Month: October | Volume: 6 | Issue: 10 | Pages: 189-193
Clinical Outcomes of Women with Acute Coronary Syndrome Treated with Percutaneous Coronary Intervention
Kala Jeethender Kumar1, Shravan Kumar2, O. Sai Satish3, M. Jyotsna4, B. Srinivas5, N. Rama Kumari5, K. Satya Bharathi Lakshmi1, Rajender Betham2, Anil Kumar Enikapalli2
1Assistant Professor, 3HOD & Professor, 4Professor, 5Additional Professor,
Department of Cardiology, Nizams Institute of Medical Sciences, Punjagutta, Hyderabad, Telangana - 500082
2Department of Cardiology, Nizams Institute of Medical Sciences, Punjagutta, Hyderabad, Telangana - 500082
Corresponding Author: Shravan Kumar
ABSTRACT
Aim: Coronary heart disease (CHD) has traditionally been considered a disease of men. Thus, the present study aimed to determine the acute coronary syndrome in women.
Methods: This was a retrospective observational study conducted at a tertiary-care center in India between August 2016 and October 2018. Women with age ≥18 years, the first-time presentation with the acute coronary syndrome (ACS) or with symptoms of ACS were included in the study. Demographic details, medical history, risk factors, investigations, complications rate, treatment, and hospitalization details were collected from the patient medical records.
Results: Total of 125 patients were included in this study. The average age of the study population was found to be 56.3 ± 11.7 years. Risk factors such as diabetes [49 (39.2%) patients] was found in the majority of the population followed by hypertension [42 (33.6%) patients], dyslipidemia [19 (15.2%) patients], tobacco chewing [12 (9.6%) patients], and family history of CAD [3 (2.4%) patients], respectively. Echocardiography revealed that higher number of the patients had good LV function [105 (84%) patients], mild LV dysfunction [15 (12%) patients] and moderate LV dysfunction [5 (4%) patients] but none of them had severe LV dysfunction at the time of discharge.
Conclusions: Dyslipidemia, diabetes mellitus, hypertension and Family history of Coronary artery disease were the main risk factors in patients with ACS. Coronary angiogram (CAG) showed the majority of the patients had a single-vessel disease with LAD being the most common culprit vessel.
Key words: Coronary artery disease; coronary angiogram; coronary heart disease.
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