Abstract

CLINICAL SPECTRUM AND RISK FACTOR PROFILE OF ACUTE CORONARY SYNDROME-AN EXPERIENCE FROM A TERTIARY CARE HOSPITAL OF TRIPURA

Author(s): Anindya Sundar Trivedi 1 , Debaprasad Chakrabarti 2 , A. K. Bhattacharyya 3

BACKGROUND Cardiovascular diseases (CVD) are major global health problem and reaching epidemic proportions in the Indian subcontinent and low and middle income countries, accounting for 78% of all deaths. The clinical spectrum, the age and gender-specific differences and the mortality rate in patients with ACS are not systematically studied in Tripura. In this background, a prospective cross sectional study was performed at Tripura Medical College and Dr. BRAM Teaching Hospital. RESULTS A total of 100 patients studied, out of which 75 were male and 25 were female. Mean age at presentation was 63.12±14.10 years. Cigarette smoking, dyslipidemia, obesity were the major risk factors. The prevalence of Hypertension, Diabetes mellitus, smoking, obesity, dyslipidemia and family history of CAD were 53%, 24%, 50%, 43%, 69% and 4% respectively. A significant number of patients (45%) presented late to the hospital after 6 hours’ time. CONCLUSION STEMI is the major type of ACS prevalent in our region. The awareness of coronary artery disease in the study population appears to be low. Our study also reinforces the need to address the traditional risk factors to prevent the disease burden.