Title: Clinical Outcomes of Acute Coronary Syndrome: In-Hospital Study in Rural Bengal
Authors: Durga Prasad Rai MD, DM, Biswarup Mukherjee. MD, DNB, DM, Gautam Datta MD, DNB, DM, Biswakesh Majumdar MD, DM, Jayanta Pal MD, DM
DOI: https://dx.doi.org/10.18535/jmscr/v6i8.73
Abstract
Background: Coronary artery disease is the leading cause of morbidity and mortality globally. Total thirty one million people are affected by the disease in India. Changing lifestyle, increasing prevalence of diabete , genetic factors may be related to rising incidence of CAD in India, Lack of data on ACS from rural setting prompted authors to study risk factors emerging clinical profile from rural Bengal.
Materials and Method: All cases admitted in cardiology ward and ICCU with clinical diagnosis of ACS between Jan 2013 to Dec 2014 at Burdwan Medical College and Hospital were enrolled, Total 2079 patients were included in study, Age .gender. various risk factors, comorbidities, time to delay to thrombolysis or PCI, complication during hospital stay and outcome were analysed. statistical analysis was performed with SPSS programme version 20.
Results: mean age of presentation is 58 years with no difference in two communities. hypertension more common in Hindus and diabetes in Muslim group. Older patients received less revascularisation because of co morbidities. 5.5% patients are age less than 40 yrs .most of the ACS patients are in age group 40 to 60 years. we found at least one risk factors in vast majority of young patients and one fourth had one or more risk factors.
Conclusion: Acute Coronary Syndrome in rural eastern India tends to present at much younger age Most of the patients presented with with STEMI. Late medical attention, lack of proper referral system leads to late presentation and increased morbidity and mortality.
Keywords: coronary artery disease. Acute coronary syndrome, risk factor, revasculirisation, thrombolysis
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