|
Document Type |
: |
Article In Journal |
|
Document Title |
: |
Risk Factors and Outcome of Medically Treated Acute Coronary Syndromes عوامل الخطورة ونتائج علاج المتلازمة التاجية الحادة |
|
Subject |
: |
Original Articles |
|
Document Language |
: |
English |
|
Abstract |
: |
A retrospective study included patients admitted to an intensive
care unit with a diagnosis of acute coronary syndrome from
January 2000 to December 2003. Three hundred patients? medical
histories were reviewed. The underlying risk factors such as a positive
family history, diabetes mellitus, hypertension and hyperlipidemia
were obtained. The cause for admission, hospitalization duration,
complications and mortality were all taken into consideration
and compared statistically. Mean age was 55.2 ± 11.9 years with the
male to female ratio of 5.8:1. Diagnoses at the time of admission
were ST elevation myocardial infarction, unstable angina, and non-ST
elevation myocardial infarction in 61%, 30%, 9% of the patients, respectively.
Thrombolytic treatment had been the golden therapeutic
option for ST elevation myocardial infarction available in King Abdulaziz
University Hospital, used by 78% of the patients, followed by
intravenous anticoagulants and other anti-ischemic medications. The
procedures performed were percutaneous coronary angioplasty (3%),
coronary bypass grafting (2%), and cardiac catheterization and angiography
for further intervention (45%) for the 300 patients, respectively.
26% of patients developed complications. Mortality was
higher among females compared to males (13.6% versus 5.9%). In
conclusion male gender, diabetes mellitus, hypertension, hyperlipidemia,
positive family history and smoking were the main associated
risk factors in our study. ST elevation myocardial infarction
was the predominant presentation in our patients. Thrombolytic treatment
was the available therapeutic option in our hospital. |
|
ISSN |
: |
1319-1004 |
|
Journal Name |
: |
Medical Science Journal |
|
Volume |
: |
12 |
|
Issue Number |
: |
1 |
|
Publishing Year |
: |
1425-1426 AH
2005 AD |
|
Number Of Pages |
: |
11 |
|
Article Type |
: |
Article |
|
Added Date |
: |
Sunday, October 11, 2009 |
|
Researchers
| عائشة عبده الغامدي | AISHA A. ALGHAMDI | Researcher | | |
|