الفهرس 
Acute Coronary SyndromeOnly 14 pages are availabe for public view
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Abstract
ACS encompasses the diagnosis of UA and MI. UA is an acute
condition of myocardial ischemia without sufficient severity and duration
to result in myocardial necrosis. Patients with UA don‘t release
biomarkers of myocardial necrosis at detectable levels in to blood, and
they don‘t typically present with ST elevation on the ECG. In acute MI,
the severity and duration of myocardial ischemia is sufficient to result in
permanent myocardial injury. Patients may present with or without ST
segment elevation on the ECG, so the term ACS describe a spectrum of
clinical syndromes that ranges from UA to NSTEMI and STEMI.
Some risk factors such as age; cigarette smoking; high blood
pressure; elevated levels of LDL cholesterol; low levels of HDL
cholesterol; family history of premature CHD; and high fasting plasma
glucose levels are epidemiologically strongly associated with CHD, the
diagnosis of ACS depends on clinical evaluation, ECG criteria, and laboratory investigations especially biomarkers of cardiac damage which
include cardiac treponin, CK, CK-MB and myoglopin.
This study involved screening of the pattern of these risk factors and
the differences among age groups from which we found that:
Male gender as a risk factor was more prominent than female
gender.
Also, family history of either premature coronary artery disease or
sudden cardiac death had the highest prevalence among the STEMI.
Diabetes mellitus and hypertension were more prevalent in male
gender while increased total cholesterol, LDL, triglycerides and obesity
were of higher prevalence in male gender also. Current cigarette smoking was more prevalent in the male gender
group and decreased in female gender groups.
The incidence of complication in male gender is higher than famle
gender.
Females have a higher incidence of stroke and mechanical
complication than male gender.
Urban patients have more levels of TCh, LDL, TGs and waist
circumference than rural patients but it wasn’t of statistical significance.
Diabetic patients have significantly higher prevalence of abnormal
levels of TCh, LDL, obesity than non-diabetics. But they significantly
higher values of TGs and lower values of HDL than other non-diabetic
group.
Hypertensive patients had significantly higher values of TGs only than non-hypertensive group.
The patient with risk factor of ACS is more common presentation
than the patient without risk factor.
The patient have more than risk factor have more presentation with
ACS.
The complication of ACS is presentation with patient have risk
factor of ACS more than patient without have risk factor.
More number of risk factor more presentation of complication of
ACS.
Non of our patients had the possibility of primary PCI and there
was no significant difference in management between all age groups.